In CMS
Dec 27th, 2019
If the Medicare Payment Advisory Commission (MedPAC) gets its way, lawmakers will require Medicare to reduce the hospice aggregate cap amount by 20 percent and freeze hospice payment rates for 2021. A 20 percent cap reduction would equal nearly 3 percent less in hospice payments. MedPAC Recommendations In its forthcoming March report to Congress, MedPAC will include ...
Technology still requires human input to ensure the integrity of automated front-end and back-end processes. Ten years ago, the healthcare industry was pushed into the digital world via the Health Information Technology for Economic and Clinical Health Act (HITECH); and while some healthcare professionals felt uprooted and/or poorly equipped for this change, others used it ...
Resolving credit balances can bring your organization out of the red and into the green. 6-Step Checklist to Recover Revenue Adjustments are correct Patient cost-sharing amounts are correct No duplicate payment postings Payments went to correct payers No charge entry errors Corrected claims are accounted for You  may have encountered this situation: Your boss assigns ...
In CMS
Aug 13th, 2019
Comments Off on More Changes Ahead for Evaluation and Management Services
Changes to payment, coding, and documentation policies for evaluation and management (E/M) services finalized in the 2019 Physician Fee Schedule (PFS) final rule are necessary to align with the American Medical Association’s (AMA) revisions to the 2021 CPT code set for office/outpatient E/M visits, according to the Centers for Medicare & Medicaid Services (CMS). The proposed policy changes for ...
In Audit
Jul 24th, 2019
Comments Off on NYC Is the Place to Be for Coding and Compliance Education
AAPC’s Regional Conference in New York City (Aug. 19-21) is a must for anyone who works in the business of healthcare such as medical coders, billers, and auditors. There will be opportunities galore for education, networking, vendor resources – all at a venue that can’t be beat. This year’s lineup of speakers includes Marianne Durling, ...