In CMS
Aug 7th, 2017
Medicare still plans to mail new Medicare cards to all beneficiaries, beginning April 2018. The change is being made to assign random identifiers to members to replace the Social Security numbers used now. Because of the scope of the change—millions of members and changes to existing systems—this has been a long time coming. CMS said ...
Tighten up the turnaround time for patient payment and see the financial benefits to your practice. By Teresa D. Skipper, CPC, CHCA The number of days that claims are in accounts receivable (A/R) is climbing. Is it any wonder? Patients no longer have $500 yearly deductibles with 80/20 policies and low copays. Deductibles have increased ...
In CMS
Jul 14th, 2017
Among the many provisions detailed within the 2018 Physician Fee Schedule Proposed Rule, released July 13, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current evaluation and management documentation guidelines create an administrative burden and increased audit risk for providers: Stakeholders have long maintained that both the 1995 and 1997 guidelines are ...
In Audit
Jul 10th, 2017
A Detroit-area medical biller was recently sentenced to 50 months in prison for helping with a $7.3 million Medicare and Medicaid fraud scheme where services were billed but not rendered. Dawn Bentley, 56, of Oakland County, Michigan, was also ordered to pay $3,253,107 in restitution with her co-defendants for one count of conspiracy to commit ...
In Coding
Jul 6th, 2017
The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items. As originally announced in the Federal Register, published on December 21, 2016, CMS is preparing for the nationwide expansion of the prior authorization process for the first ...