In Billing
Apr 5th, 2018
A representative from the Hospital and Ambulatory Policy Group at the Centers for Medicare & Medicaid Services (CMS) held a listening session regarding proposed updates to the documentation guidelines for evaluation and management (E/M) services on March 21st. The listening session was to get feedback from stakeholders on policy proposals for upcoming notice and comment ...
In Coding
Apr 5th, 2018
In her new book, Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick, Maya Dusenbery describes difficulties women experience when trying to be heard and understood by medical providers. As a physician and professional coder, compliance officer, and auditor, I find all patients—and especially females—are poorly heard ...
Intermountain Healthcare recently combined 35 telehealth programs into what it calls a “virtual hospital,” touting the new service’s ability to reach underserved areas. Connect Care Pro will not only service patients directly, but cut healthcare costs for inpatients, the system says. Telehealth is Broad Solution The Utah-based system has 22 hospitals, including regional facilities...
In CMS
Mar 5th, 2018
Risk adjustment helps to ensure accurate and adequate payment for Medicare Advantage (MA) patient conditions, based on expected medical costs. A patient’s health status reflects the costs associated with their healthcare needs. The more of a burden the disease is, the higher the risk adjustment score is. Healthier patients have a lower risk adjustment score. Hierarchical ...
In CMS
Mar 5th, 2018
Now that you’re familiar with the 2018 HCPCS Level II codes,  new C, G, K, and Q codes effective April 1 have been released by the Centers for Medicare & Medicaid Services (CMS). Several modifiers have been adjusted to reflect oxygen use. The annual quarterly updates helps CMS programs, such as the Outpatient Prospective Payment System (OPPS) ...