Sep 21st, 2018
The healthcare industry is a fast-paced, ever-changing business that never rests. Perpetual changes to federal regulations, code sets, and technology make it nearly impossible to stay up to date. But stay up to date we must to ensure compliance and receipt of proper reimbursement for healthcare services and supplies. If only there was one place you could turn to ...
In Billing
Sep 17th, 2018
CMS has issued waivers to ensure Medicare beneficiaries affected by the storm receive healthcare services. President Trump declared a state of emergency on Sept. 11 for North Carolina, South Carolina, and the Commonwealth of Virginia. That same day, U.S. Department of Health and Human Services Secretary Alex M. Azar II declared a public health emergency for ...
Sep 11th, 2018
Scrubbing is the best way to ensure your claims are clean of unbundling overpayments. A hospital finance department should not treat National Correct Coding Initiative (NCCI) edits as irrelevant to inpatient billing simply because payers don’t use the NCCI to edit inpatient claims before payment. Instead, hospitals should institute internal controls to ensure claims are ...
In Billing
Sep 10th, 2018
A proposed change to signature requirements in 2019 may effect your practice. The Physician Self-referral Law, or Stark Law,  prohibits physicians to refer Medicare patients for certain designated health services (DHS) to an entity with which the physician (or a member of the physician’s immediate family) has a financial relationship. The DHS entity is held to the ...
In Billing
Sep 7th, 2018
Bundled payments seem to be cutting healthcare costs. One of the salient goals of the Affordable Care Act was to bring down the cost of care. As a result, the federal government attempted to assist in reducing the cost of care by implementing a program called Bundled Payments for procedures that are frequently performed for ...