In Coding
Jun 6th, 2018
Part 1: Educated coders and providers are crucial to claim success. Delivering quality care, while ensuring effective clinical documentation and compliant medical coding, is an ongoing challenge in a fast-paced emergency department (ED). Over the next two months, we’ll review best practices to optimize coding compliance and reimbursement of ED claims. In part 1 of ...
In Billing
Jul 19th, 2016
In a proposed rule, the Centers for Medicare & Medicaid Services (CMS) outlines plans to revise Medicare Physician Fee Schedule (MPFS) payment policies for 2017, and make several other policy changes related to Medicare Part B payment. Key Provisions Section II of the MPFS proposed rule focuses on practice expense relative value units (PE RVUs), malpractice relative ...
In MACRA
May 12th, 2016
The Centers for Medicare & Medicaid Services (CMS) published in the Federal Register on May 9 a proposed rule (CMS-5517-P) regarding policy for a quality-based payment program. An MLN webcast on May 10 reiterates what the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the recent proposed rule-making mean to healthcare providers. What is ...
In MACRA
May 1st, 2016
Move over SGR. Quality performance and reporting payment methodology is replacing you. The sustainable growth rate (SGR) payment formula is gone, replaced by the Merit-based Incentive Payment System (MIPS), signed into law April 16, 2015. Ironically, the SGR became unsustainable within a few years of its introduction. Nearly every year for the past decade and ...
Apr 2nd, 2015
It was no joke yesterday, when the latest sustainable growth rate (SGR) payment patch expired. All the healthcare industry can do now is wait for Congress to reconvene and, hopefully, pass payment reform legislation that will spare them a 21 percent pay cut. The Centers for Medicare & Medicaid Services (CMS) offered some relief in a MLN ...