In Billing
Jan 12th, 2018
Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, strok...
In Coding
Jul 26th, 2016
If telehealth is the wave of the future, we’re still in the Dark Ages. The public has an ongoing opportunity to submit requests to the Centers for Medicare & Medicaid Services (CMS) for adding or removing services from the list of Medicare-covered telehealth services. This year, however, CMS is proposing not to add the majority of ...
In CMS
Jan 11th, 2016
Advance care planning (ACP) is a face-to-face service between a physician (or other qualified health care professional) and the patient and/or his family or surrogate, to discuss advance directives, with or without completing relevant legal forms. The Centers for Medicare and Medicaid Services (CMS) defines an advance directive as, “a document appointing an agent and/or ...
In Coding
Jan 6th, 2016
As of Jan. 1, 2016 the Centers for Medicare and Medicaid Services (CMS) will cover advance care planning (ACP) as a separate service, when provided by physicians and other qualifying providers (e.g., nurse practitioners who bill Medicare using the physician fee schedule). Per CPT Assistant (December 2014), “Advance care planning (ACP) involves learning about and ...
Aug 21st, 2015
No one wants to be the bearer of bad news, especially when it involves the death of someone you’re caring for. After all, it’s ingrained in provider ethics to save lives and to “be dedicated to providing competent medical care, with compassion and respect for human dignity and rights” (American Medical Association (AMA) Principles of Medical Ethics). That’s ...