In Audit
Aug 16th, 2018
Improper payments stem from noncompliance. Hospitals do not always comply with Medicare requirements for reporting cochlear devices replaced without cost, according to a report issued by the Office of Inspector General (OIG). The U.S. Department of Health and Human Services branch office, charged with protecting program integrity, bases its conclusion on prior compliance reviews in which it identif...
In CMS
Aug 15th, 2018
If Congress and other stakeholders continue to drag their heels, Medicare bankruptcy is a real possibility. The Medicare Part A trust fund will be depleted by 2026 and Medicare Part B spending will grow more than 8 percent over the next five years, according to the 2018 Annual Report by Medicare’s Board of Trustees. Two things ...
Jul 27th, 2018
Want to earn some Brownie points with your clinicians? Let them in on a little-known opportunity to earn bonus points in the Improvement Activities performance category under the Merit-based Incentive Program (MIPS). First, Some Background The Improvement Activities performance category is one of four performance categories in MIPS. Out of a final score of 100, ...
In CMS
Jul 26th, 2018
The Centers for Medicare & Medicaid Services (CMS) has posted a 22 minute promotional video hosted by Administrator Seema Verma about the agency’s evaluation and management (E/M) payment changes in the 2019 proposed Physician Fee Schedule. The video, more than 22 minutes long and including a panel of CMS-related providers, follows up on an introductory video ...
In Billing
Jul 26th, 2018
The long-awaited 2019 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule, released July 25, sets the wheels in motion for significant reforms in the way Medicare will pay providers in hospital outpatient settings. The Centers for Medicare & Medicaid Services (CMS) is moving toward site-neutral payments for clinic visits, which will save ...