In Billing
Nov 10th, 2017
The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. CMS Finalizes 2018 MPFS Payment and Policy Changes was last modified: November 10th, 2017 by Renee Dustman...
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 ...
In CMS
Jul 19th, 2017
There’s a definite theme seen throughout the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule: The Merit-based Incentive Payment System (MIPS) is referred to in nearly every section. In reading the proposed rule, it becomes evident that the Centers for Medicare & Medicaid Services (CMS) is clearly working toward aligning all Medicare Part B payment ...
In CMS
Jul 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) has a date in mind for implementing the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging services. In the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule, CMS proposes Jan. 1, 2019, as the date when ordering professionals would need to consult specified applicable AUC using a qualified clinician ...
In Billing
Jul 14th, 2017
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to address changes to the Medicare Physician Fee Schedule (MPFS) and other Medicare Part B payment policies for 2018, and beyond. Provisions of the Proposed Rule for PFS CMS is proposing for the MPFS in 2018 potentially misvalued codes; values for new, revised, and ...