In CMS
Jul 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) released the proposed policy and rate changes for the Hospital Outpatient, Ambulatory Surgical Center Payment Systems.  Commonly called OPPS and ASC, these systems are updated annually and the proposed version “reflects a broader strategy to relieve regulatory burdens for providers; support he patient-doctor relationship in healthcare; an...
In CMS
Jul 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) has a date in mind for implementing the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging services. In the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule, CMS proposes Jan. 1, 2019, as the date when ordering professionals would need to consult specified applicable AUC using a qualified clinician ...
In CMS
Jul 14th, 2017
Among the many provisions detailed within the 2018 Physician Fee Schedule Proposed Rule, released July 13, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current evaluation and management documentation guidelines create an administrative burden and increased audit risk for providers: Stakeholders have long maintained that both the 1995 and 1997 guidelines are ...
In Billing
Jul 14th, 2017
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to address changes to the Medicare Physician Fee Schedule (MPFS) and other Medicare Part B payment policies for 2018 and beyond. Provisions of the Proposed Rule for PFS CMS is proposing for the MPFS in 2018 potentially misvalued codes; values for new, revised, and ...
In Coding
Jul 13th, 2017
The American Medical Association (AMA) recently posted a short list of new and revised vaccine codes on their website. These codes are effective July 1, 2017, and will appear in the CPT® 2018 codebook: 90587 Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use This is a new code, pending FDA approval. 90620 Meningococcal recombinant ...