In Billing
Mar 12th, 2019
Physicians and practices are being snatched up by hospitals at an ever increasing rate, according to an advocacy group and as consulting company, and this may have an impact on medical coding in around 80,000 hospital-owned practices. Hospitals Racing to Acquire Data compiled by Physicians Advocacy Institute (PAI) and consulting company Avalere Health indicates hospitals ...
In CMS
Sep 21st, 2018
The Centers for Medicare & Medicaid Services (CMS) issued, Sept. 17, a proposed rule for revising several compliance requirements that have been identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers of durable medical equipment. The proposed changes are in accordance with President Trump’s Jan. 30, 2017, Executive Order “Reducing Regulation and Con...
In CMS
Jan 12th, 2018
The Centers for Medicare & Medicaid Services (CMS) announced on Jan. 9 the launch of their Innovation Center’s Bundled Payments for Care Improvement Advanced (BPCI Advanced) payment model. It’s voluntary and can earn providers payment if all costs for a patient’s episode of care are “under a spending target that factors in quality.” This differs ...
Jun 26th, 2017
Be sure your facility is ready for the new emergency preparedness requirements by the Nov. 15, 2017 compliance date. The Center for Medicare & Medicaid Services (CMS) has instituted new emergency preparedness requirements for health facilities, long-term care facilities, hospices, large physician practices/clinics, psychiatric residential treatment centers, and community mental health centers, ...
In Billing
Jan 20th, 2017
If your accounts receivables are higher than expected in first quarter 2017, remember the old adage: If it’s too good to be true, it probably is. Due to errors in the Medicare Claims Processing System, some Outpatient Prospective Payment System (OPPS) hospital claims with dates of service on or after January 1, 2017, may have ...