Jan 8th, 2019
Civica Rx announced that 12 new health systems representing 250 hospitals nationwide have joined the not-for-profit generic drug company as founding members. That brings the number of hospitals that have joined the project designed to make generic drugs more accessible and less expensive to 750. Civica Rx to Solve Supply, Cost Problems Spotty supply and ...
In Billing
Mar 1st, 2018
Beginning Jan. 1, 2018, clinicians may report on Medicare Part B claims submitted for items and services the applicable HCPCS Level II modifiers established for patient relationship categories. Although the use and selection of these modifiers are not be a condition of payment, yet, clinicians should prepare for the likelihood of them becoming applicable components ...
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, ...
In CMS
Dec 14th, 2015
By Nancy Clark, CPC, CPC-H, CPB, CPMA, CPC-I The Centers for Medicare and Medicaid Services (CMS) recently announced increased costs for Medicare beneficiaries in 2016.  The annual deductible for Part B beneficiaries will increase from $147 in 2015 to $166  for 2016. Part B monthly premiums will increase for some, but remain at $104.90 for ...
Accurate, complete coding just got more important than ever. By Jean Acevedo, LHRM, CPC, CHC, CENTC Section 1848(p) of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to establish a value-based payment modifier (VBPM) and apply it to certain physicians and physician group practices by January 1, 2015, and to ...