In CMS
Jan 23rd, 2020
Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare cards. Here’s How the Scam Goes Down The callers claim to be from Medicare and say there has been a mix up in the assignment of new ...
In Coding
Jan 22nd, 2020
Quite a few code changes and revisions were made to the Radiology section of CPT® for 2020. Less confusing language and expanded code categories will make life easier for medical coders. Here’s a quick review. Gastrointestinal System A mini overhaul of the gastrointestinal system codes removed the confusing language of “with or without KUB” and ...
In Billing
Jan 21st, 2020
New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening when another provider of a different specialty in the same multi-specialty group sees the patient for the first time and bills a new patient E/M ...
Jan 16th, 2020
Millennials are everywhere in the news: They are attracting marketers, entering the workforce, and shaping our trends. Now that these young adult consumers are exceeding the baby boomer population, it’s remolding healthcare delivery and access  ̶  and our industry should care. According to Statista’s “Resident Population in the United States in 2017, by Generation,” the ...
Jan 14th, 2020
What access should you have to your own medical information? Should you have to pay for it? And if so, how much should it cost? These are three key questions raised by a recent enforcement action conducted by the Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS). The answers ...