In CMS
Mar 13th, 2019
President Trump’s fiscal year (FY) 2020 budget allows for $87.1 billion in discretionary budget authority and $1.2 trillion in mandatory funding for the U.S. Department of Health and Human Services (HHS). Although the Centers for Medicare & Medicaid Services (CMS) commands the lion’s share of HHS’s budget, the Trump administration has found ways to cut $395 ...
In CMS
Mar 13th, 2019
With an aging population and increased reliance on nursing homes, it’s common to have concerns on whether the needs of our elderly loved ones will be met under the care of others. That’s where the Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare website can help; it provides an easy way to search ...
Mar 12th, 2019
In its February 2019 meeting, the AMA CPT Editorial Panel has approved revised guidelines for new and established office or outpatient visit codes 99202-99215 that would eliminate history and examination as key components to select the E/M service level. Additional E/M documentation changes include the deletion of level one new outpatient visit code 99201, and ...
In Billing
Mar 11th, 2019
Disease thought long gone are resurging as the result of  lowered vaccination rates, homelessness, and other factors, and they are sending medical coders and billers back to their books. Diseases Not Gone for Good While polio is effectively controlled in the United States, public health experts, including the Centers for Disease Control and Prevention (CDC), ...
In Audit
Mar 6th, 2019
If  you receive Additional Documentation Requests (ADR) from a Medicare Administrative Contractors (MAC) and others, here are some tips  to respond most effectively. Additional Documentation Request Success Isn’t that Hard CGS  Administrators, a MAC and Durable Medicare Administrative Contractor (DMAC) with a presence in 38 states, offers helpful tips in their ADR process.  ADRs may ...