In CMS
Sep 11th, 2018
The Centers for Medicare & Medicaid Services (CMS) knows there is a lot of administrative overhead when submitting medical claims for payment. To help you navigate through the red tape, CMS has created a “Administrative Simplification Basics Series,” where you can Sign up for Administrative Simplification email updates. The series helps the healthcare community use electronic ...
In Billing
Sep 10th, 2018
A proposed change to signature requirements in 2019 may effect your practice. The Physician Self-referral Law, or Stark Law,  prohibits physicians to refer Medicare patients for certain designated health services (DHS) to an entity with which the physician (or a member of the physician’s immediate family) has a financial relationship. The DHS entity is held to the ...
In CMS
Aug 13th, 2018
According to a Department of Justice (DOJ) U.S. Attorney’s Office Southern District of New York press release, Mustak Y. Vaid is the latest physician sentenced in a big Medicaid fraud ring involving six Brooklyn clinics between 2007 and 2013, who filled “prescriptions and referrals for medically unnecessary and/or non-existent tests and supplies.” He falsely posed ...
In Coding
Aug 9th, 2018
Follow both ICD-10 Official Guidelines and AHA Coding Clinic guidance to meet MACRA performance requirements. Diagnostic coding accuracy is a lot more important than it used to be. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare & Medicaid Services (CMS) has increased physician accountability for reporting a patient’s ...
Jul 17th, 2018
If you are wondering where $341,000 of your taxpayer money went, look to former U.S. Department of Health and Human Services (HHS) Secretary Tom Price’s chartered aircraft expenses. On July 13, he resigned due to investigations of his use of chartered aircraft, MilAir, and other government travel-related expenses, which did not comply with federal regulations ...