In CMS
Oct 19th, 2017
The Physician Compare preview period began Oct. 18 and ends Nov. 17. Now is the time for physicians to review their profiles for accuracy before they are made public. Misinformation could cost your practice dearly. Check the Basics General information given on the Physician Compare website for physicians enrolled in Medicare includes: Name Medical specialties Contact information Medicare ...
Virtual groups will allow more clinicians to participate in MIPS to earn incentive payments. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve also ...
Follow the correct edit to promote payment and avoid denial. By Samantha Prince, BSHCM, COC, CPC, CPMA National Correct Coding Initiative (NCCI) edits for Medicare and Medicaid are not the same. If you’re following Medicare edits for Medicaid claims, you may have claims denying inappropriately. That’s missed revenue you could capture by applying the correct ...
Ensure your home visits are medically necessary and meet payer billing requirements. By Beth Schleeper, COC, CPC, CPB, CPCO, CPMA, CPPM, CPC-I, CEMC, AAPC Fellow As a patient, having a physician come to your home to treat you while you are ill is a blessing. As a coder, reporting such a visit can be tricky. ...
The medical decision-making (MDM) component of evaluation and management (E/M) services is perhaps the most crucial element in determining the correct level of service assignment for patient encounters. The majority of individuals involved in the E/M coding process may not agree on the interpretation of the components, but would agree that the clinical thought process ...