In CMS
Dec 5th, 2018
U.S. hospitals that are putting quality over quantity will fare well next year for their efforts. Out of  approximately 2,800 hospitals across the country, more than 1,550 will see an increase in their 2019 Medicare payments. For the rest? Well, the news isn’t so good. Where Does the Money Come From? The Centers for Medicare ...
In Billing
Nov 28th, 2018
A new tool that displays cost differences for certain surgical procedures was recently released by the Centers for Medicare & Medicaid Services (CMS), and it may help medical coders and their providers help patients better choose whether to have inpatient or outpatient surgery. The Procedure Price Lookup displays national averages for the amount Medicare pays ...
In CMS
Nov 20th, 2018
Monumental changes to Medicare policy finalized in the 2019 Physician Fee Schedule (PFS) final rule warranted a Centers for Medicare & Medicaid Services (CMS) national call, held Nov. 19. Here’s a summary of what you may have missed. First Up: Evaluation and Management Services CMS started out with an explanation of the Patients Over Paperwork ...
In CMS
Nov 14th, 2018
Another opioid pill mill gets busted by the Medicare Fraud Strike Force. A “pain management clinic” in Hialeah, Florida, owned by David Bosch and Tania Sanchez, which operated under the name East Medical Office Inc., unlawfully distributed thousands of pills of oxycodone, during the period of April 2017-May 2018. It was a cash-only clinic, which remained ...
In CMS
Nov 6th, 2018
What does the cost of rising health insurance mean for you? By Wendy Dressler Image via Pexels There are a lot of changes coming to the world of healthcare and health insurance. It’s no secret that the cost of health coverage is rising, and this has led to one of the most profitable years for ...