In Billing
Sep 16th, 2011
The Electronic Prescribing (eRx) Incentive Program 2011 final rule has been posted by the Centers for Medicare & Medicaid Services (CMS). The rule fulfills requirements laid out in the Medicare Improvements for Patients and Providers Act (MIPPA) by defining what a provider must do to avoid the Medicare Physician Fee Schedule (MPFS) adjustment should he ...
In Billing
Jul 15th, 2011
Attention physicians, non-physician practitioners (NPPs), and independent diagnostic testing facilities (IDTF) supplying imaging services and submitting Medicare claims for the technical component (TC) of advanced diagnostic imaging (ADI) procedures: MLN Matters SE1122 provides assistance to help you meet the accreditation requirements established in Section 135 (a) of the Medicare Improvements for...
Jun 30th, 2011
The National Quality Forum (NQF)—a voluntary consensus standards-setting organization under contract with the Department of Health and Human Services (HHS)—recently approved for endorsement a list of 29 serious reportable events (SREs) in health care. Twenty-five of the events were updated from a 2006 endorsement and four are completely new events. The complete list of SREs ...
Jan 1st, 2011
By Jillian Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P In December’s Coding Edge, we examined the 2011 OIG Work Plan from the perspective of the physician practice (“Center a Work Plan Around 2011 OIG Activities,” pages 44-45). This month, we’ll take a look at items affecting the hospital setting. There are several new items in the ...
In CMS
Jul 30th, 2010
The Centers for Medicare & Medicaid Services (CMS) issued a final rule that changes how physicians are paid for furnishing dialysis services for patients with end stage renal disease (ESRD) from partial bundled composite rates to a new partial payment system (PPS). The rule also establishes a quality incentive program (QIP) linking a facility’s payments to ...