Jun 21st, 2017
Telehealth company Teladoc purchased the giant physician consulting firm Best Doctors for $440 million, adding the company’s network of 50,000 specialists to its stable of 3,100 providers. Teladoc already provides 20 million members access to healthcare via the Internet. It also provides services to businesses as part of their benefit packages. Best Doctors provides patients, providers, ...
Jun 21st, 2017
A proposed rule for 2018 updates to the Quality Payment Program (QPP) holds few surprises, except for one: The Centers for Medicare & Medicaid Services (CMS) is proposing to increase the low-volume threshold to exempt more clinicians from the Merit-based Incentive Payment System (MIPS). Small Practices Get Leniency Clinicians who are eligible to participate in MIPS ...
In Billing
Jun 20th, 2017
Medicare beneficiaries will start receiving new member ID cards in the mail beginning April 2018. Healthcare providers and the billing companies they employ have until then to prepare their systems to accept the new format. What’s Behind the Change? The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) mandates the Centers for Medicare & Medicaid Services (CMS) ...
Jun 19th, 2017
Telehealth is having such a great year being implemented the National Quality Forum (NQF)  issued a report outlining a measure framework with a list of measure concepts and standards for future measurement. With  Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and MIPS quality measures being implemented and refined, the long-evolving telehealth technologies are now ...
In Coding
Jun 19th, 2017
In the outpatient setting, do not code a diagnosis unless it is certain. Examples of language seen in the medical record that identify uncertain diagnoses include: Probable Suspected Questionable Rule out Differential Working When a definitive diagnosis has not been determined, code the signs, symptoms, and abnormal test result(s) or other reasons for the visit. ...