In CMS
Jan 3rd, 2019
Clinical Laboratory Improvement Amendments (CLIA) fees are being increased for the first time in 20 years, according to a holiday week notice from the Centers for Medicare & Medicaid Services (CMS). CLIA Fees Based on 1992 CMS wants a 20 percent increase for laboratories seeking a CLIA certificate. The agency explained that the program and ...
In Audit
Nov 1st, 2018
By law, the Administrative Law Judge level of Appeals has 90 days to resolve appeals submitted to the ALJ level.  However, the Department of Health and Human Services (HHS) Office of Hearings and Appeals (OMHA) has been unable to keep up with the number of appeals submitted to them which has lead to a huge ...
In CMS
Oct 30th, 2018
The government wants to lower Part B drug costs by matching them to international prices, but it’s neither going to be immediate nor easy. Reigning in Drug Prices In addition to industry efforts make medicines more affordable, the Centers for Medicare & Medicaid Services (CMS) announced it is soliciting public comments on a plan and ...
In Billing
Oct 23rd, 2018
Are your clinicians reporting patient relationship codes on their Medicare Part B claims? The HCPCS Level II modifiers are voluntary this year, making it a good time to get in practice. What Is the Purpose of Patient Relationship Categories and Codes? The Medicare Access and CHIP Authorization Act of 2015 (MACRA) requires the Centers for ...
Oct 22nd, 2018
Deloitte did a 2018 survey of U.S. healthcare consumers and physicians, and found: 90 percent of physicians see the benefits of telemedicine technology but only 14 percent have the ability to perform video telemedicine visit capabilities right now. Of the remainder, only 18 percent plan on adding the capability over the next few years. Of ...