In CMS
May 29th, 2019
The Programs of All-inclusive Care for the Elderly (PACE) recently got a boost from the Centers for Medicare & Medicaid Services (CMS) final rule that modernizes the program to the “latest standards of in caring for PACE participants.” PACE Serves 45,000 PACE provides comprehensive medical and social services to certain frail, older folks who qualify ...
In CMS
Apr 23rd, 2019
Beginning January 2020, primary care practitioners may qualify to participate in one of five new payment model options that focus on supporting care for patients who have chronic conditions and serious illnesses. The Centers for Medicare & Medicaid Services’ (CMS) Primary Care Initiative is a new set of payment models that will provide primary care ...
In Coding
Apr 1st, 2019
Documentation is key to correct ICD-10-CM coding, better patient care, and proper reimbursement. Physician documentation is one of the most important keys when abstracting for hierarchical condition category (HCC) coding. In a value-based payment system, documentation — more specifically, coding extracted from that documentation — determines whether a physician is properly compensated for managing ...
Mar 7th, 2019
Over 25 years ago, I had my first job in healthcare as a family planning counselor for a federally qualified health center. I was only 25 years old, a couple of years out of undergraduate school, and not sure what I wanted to do in my professional life. That job started me on the career ...
In Billing
Feb 25th, 2019
Pilots do it. Bird watchers do it. Even surgeons are starting to do it. Are you taking advantage of checklists to help your medical coding and billing? Rocket Scientists Use Checklists Coding can be – as the saying goes – more complicated than rocket science.  Not only are you translating a provider’s impressions, judgments, actions ...