In CMS
Aug 20th, 2018
CMS includes in the proposed rule some new Part B specific add-on codes that are to be used specifically with E/M codes which create the single rate of $93 for established patients 99212-99215 and a single rate for new patients 99202-99205 of $135. The add-on codes are designed to provide for an additional payment to primary ...
In Audit
Aug 9th, 2018
Create a policy that addresses gray areas, optimizes results, and refines documentation. Performing internal provider documentation audits with follow-up education is a very important piece of a corporate compliance plan. The goal is to improve compliance with healthcare regulations, but the process also shows providers you are a valuable resource and improves the coder/provider relationship ...
In CMS
Aug 8th, 2018
During a July 18, 2018 CMS Twitter™ podcast, CMS National Coordinator for Health Information Technology, Donald Rucker, M.D. defended the new CMS 2019 proposal to make documentation of the History optional for health records. He was asked, “In light of technology’s thirst for data to identify best practices and construct predictive algorithms, is it possible ...
In CMS
Aug 6th, 2018
Besides taking a machete to E/M reimbursement and the way Medicare looks at E/M services, the current administration has proposed some large changes in the way Medicare pays doctors. They have also proposed ways that hospital facilities disclose prices to patients, providing more transparency. Changing Payment The pipeline for immediate changes includes the government paying more ...
In CMS
Jul 20th, 2018
If you’ve read about the Centers for Medicare & Medicaid Services’ (CMS) proposed changes for the  documentation, coding, and reimbursement of outpatient evaluation and management (E/M) service codes 99201-99215, you probably have some questions (If you haven’t read about the changes, do it!). Now, CMS is providing some answers. Following remarks by CMS Administrator Seema Verma, ...