In Billing
Feb 22nd, 2019
Is your outpatient facility on board with new regulations for the ordering and furnishing of advanced diagnostic imaging services? Advanced diagnostic imaging services have long been under scrutiny by the Office of Inspector General for Medicare fraud and abuse, and the Centers for Medicare & Medicaid Services (CMS) responds to the watchdog’s recommendations each year ...
In Audit
Feb 13th, 2019
Right out of the gate, Medicare Incentive-based Payment System (MIPS) adjustments were incorrectly applied to nonphysician services and supplies. This error is being corrected by the Centers for Medicare & Medicaid Services (CMS), but what if no one caught it? MIPS eligible clinicians and clinician groups could have improperly lost or gained considerable revenue. This ...
In Billing
Feb 12th, 2019
Is putting patients in control of their healthcare a cure for what ails this country? At the 2019 Centers for Medicare & Medicaid Services (CMS) Quality Conference in Baltimore, Maryland, Jan. 29-31, CMS Administrator Seema Verma spoke about the agency’s vision to transform the healthcare system through competition and innovation. “We are prioritizing a well-informed, ...
In Billing
Feb 8th, 2019
If your 2019 Medicare Part B claims payments aren’t adding up as expected, there may be a good explanation: the Centers for Medicare & Medicaid Services goofed. The agency recently discovered that an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment was causing Medicare Part B drugs and other ...
A 7 percent payment update in your professional claims is at stake. That’s a nice bonus on top of the automatic 0.5 percent update to the Physician Fee Schedule (PFS). This is the last year for the automatic update, however. The only shot clinicians have at a PFS payment update in 2020 and beyond is ...