In CMS
Oct 10th, 2018
The Department of Justice preliminary OK’d the merger between pharmacy giant CVS and insurance stalwart Aetna. What does this new model of healthcare mean to medical coders and the industry? CVS & Aetna Symbiotic Partners Aetna will take advantage of CVS’ huge network of locations, all of which distribute pharmaceuticals and most of which have some level ...
In CMS
Oct 5th, 2018
Reduce patient questions about their Medicare plan and increase your practice’s star rating by educating them where to go for answers: eMedicare. As of 2016, about two-thirds of Medicare beneficiaries indicate they use the internet daily or almost daily. Lead those tech-savvy patients to MyMedicare.gov. Go Online The Centers for Medicare & Medicaid Services (CMS) ...
In Billing
Oct 3rd, 2018
Prior authorization for healthcare services is required for certain services. If authorization is not obtained prior to performing the service, the insurer may not reimburse for the procedure. Most services requiring prior authorizations are surgical procedures or high-cost ancillary services or may be determined as not necessary in some circumstances. The requirement for prior authorizations ...
Sep 21st, 2018
The healthcare industry is a fast-paced, ever-changing business that never rests. Perpetual changes to federal regulations, code sets, and technology make it nearly impossible to stay up to date. But stay up to date we must to ensure compliance and receipt of proper reimbursement for healthcare services and supplies. If only there was one place you could turn to ...
In CMS
Sep 21st, 2018
The Centers for Medicare & Medicaid Services (CMS) issued, Sept. 17, a proposed rule for revising several compliance requirements that have been identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers of durable medical equipment. The proposed changes are in accordance with President Trump’s Jan. 30, 2017, Executive Order “Reducing Regulation and Con...