In CMS
Oct 20th, 2017
Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS) is on a national whistle-stop tour to listen to physicians and other healthcare professionals. She began her tour at Hartford Hospital in Connecticut Monday, Oct. 16. FierceHealthcare said she spoke with doctors, the Connecticut Medical Society, and other local health leaders about developing more ...
The medical decision-making (MDM) component of evaluation and management (E/M) services is perhaps the most crucial element in determining the correct level of service assignment for patient encounters. The majority of individuals involved in the E/M coding process may not agree on the interpretation of the components, but would agree that the clinical thought process ...
The Medicare Access CHIP Reauthorization Act of 2015 (MACRA) created a new Quality Payment Program for Medicare providers. Under MACRA, there are two possible tracks for participation: Advanced Alternative Payment Models (APM) Merit-based Incentive Payment System (MIPS) Advanced Alternative Payment Models To move providers from a volume-based payment system to a value-based style of payment, ...
Four best practices when following radiology compliance regulations. By Kim Wells, CPC, CPMA, CEMC, AAPC Fellow The issue of healthcare fraud and abuse has attracted a lot of attention in recent years, primarily because the financial losses attributed to it are estimated to be billions of dollars, annually. Below are four tips for ensuring your ...
With understanding comes proper reimbursement and compliance. Hierarchical category condition (HCC) coding is the risk model that the Centers for Medicare & Medicaid Services (CMS) uses to determine the acuity of Medicare Advantage (MA) patients. It is a major factor influencing reimbursement for patients. Despite its importance, the methodology is not well known among physicians. ...