In Billing
Nov 9th, 2017
The Centers for Medicare & Medicaid Services (CMS) released more than 320 changes in the 2018 HCPCS Level II code set November 6, and many are payment-related. 153 New HCPCS Level II Codes There are 11 new modifiers this year. These include two modifiers meant to better track 340b drug pricing; CMS is moving to cut ...
As payers like Aetna, ANthem, Cigna, Humana, UHC, SelectHealth, Blue Cross/Blue Shield embrace telehealth and establish their own programs, major healthcare networks are also reaping benefits from the exploding technology. Large networks like Kaiser Pemanente, Geisinger, Cleveland Clinic, and UPMC Health Plan are incorporating telehealth not only for outpatients but for inpatients. In an article ...
Virtual groups will allow more clinicians to participate in MIPS to earn incentive payments. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve also ...
In CMS
Jul 13th, 2017
The Office of Inspector General’s (OIG) combat on healthcare fraud, waste, and abuse of taxpayer’s money recovers $5 for every $1 spent on investigating, which gives them incentive to target more areas of fraud. The OIG’s latest and largest fraud takedown happened this month when opioid fraud was exposed with the help of state and federal law ...
May 10th, 2017
It’s tough paying for medical coding school, investing your time to learn, and finally passing your coding exam. Then reality sets in that you can’t find a job in your field. Or, there are jobs, but there are only entry level positions that aren’t what you expected. There’s hope. You just have to remember that you may have to work a little to ...