In Billing
Jun 13th, 2017
The July 2017 Average Sales Price (ASP) and Not Otherwise Classified (NOC) drug pricing files and crosswalks are now available on the Centers for Medicare & Medicaid Services’ 2017 ASP Drug Pricing Files webpage. Payment Amounts These files contain the payment amounts that will be used to pay for Part B covered drugs for the third quarter ...
In CMS
Jun 12th, 2017
Medicare does not accept claims for either outpatient (99241-99245) or inpatient (99251-99255) consultations, and instead requires that services be billed with the most appropriate (non-consultation) E/M code. Report outpatient E/M services with the appropriate Outpatient Services code (e.g., 99201-99215, or 99281-99285 for patients seen in the emergency department). The service must be supported b...
In Billing
Jun 8th, 2017
Although comparing the third quarter 2017 payment amount with the prior quarter reveals that, on average, prices for Part B drugs increased by 0.1 percent, according to the Centers for Medicare & Medicaid Services (CMS), there are several code changes in the July 2017 update that will soon affect claims payment under the Outpatient Prospective ...
In Billing
Jun 1st, 2017
This first year should be easy, but everyone in your practice must play by the rules. It’s June 2017, half way through the first performance year of the Merit-based Incentive Payment System (MIPS). By now, your physician practice should have received a letter from the Centers for Medicare & Medicaid Services (CMS) informing your clinicians ...
In CMS
May 26th, 2017
Medicare Access and CHIP Reauthorization Act of 2015 will shake how providers are reimbursed to the core, as they are paid based on the quality of care versus the quantity of care through a fee-for-service model. How are providers and others in the industry going to cope with this new law, which was passed with bi-partisan ...