Feb 1st, 2011
By Charla Prillaman, CPC, CPMC, CPC-I, CCC, CEMC, CHCO The number and scope of external auditing agencies pursuing improper payments are increasing significantly, making medical record auditing more important than ever. If you think your practice is exempt, consider this: The “Improper Medicare Fee-For-Service Payments Report: November 2009,” revealed that 7.8 percent of Medicare dollars ...
In Billing
Oct 29th, 2010
UnitedHealthcare Group announced Oct. 20 that it is working with five medical oncology groups around the country to advance a new cancer-care payment model that “focuses on best treatment practices and better health outcomes for patients with breast, colon, and lung cancers.” The five medical practices participating in the one-year pilot have between 18 and ...
May 1st, 2010
By Lynn S. Berry, PT, CPC As we move into the era of pay for performance, value-based purchasing, and bundled or global payments, our documentation must represent clearly the services we perform, and the rationale and medical necessity for our actions. Patient care and documentation of that care given by any provider should have four ...
In Billing
Feb 25th, 2010
Late last night the Senate passed the Temporary Extension Act of 2010 (HR 4691) by a vote of 78-19, extending the Medicare physician 21.2 percent pay cut exemption and the physical therapy services cap exceptions process until March 31. Senate Gives Physicians a 30-day Reprieve was last modified: July 5th, 2011 by admin aapc...
In CMS
Feb 15th, 2010
The Centers for Medicare & Medicaid Services (CMS) has released two new Health Insurance Portability and Accountability Act (HIPAA) Version 5010 fact sheets, as well as two companion checklists, to assist providers in transitioning to 5010. With compliance deadlines rapidly approaching, the time to prepare is now. Take a Lesson in 5010 Readiness was last ...