In CMS
Dec 18th, 2018
Even though U.S. Northern District of Texas Court Judge Reed O’Connor struck down the Affordable Care Act (ACA or Obamacare), there are three good reasons to neither panic nor change your medical practice’s policies or your medical coding. Judge O’Connor ruled the law as unconstitutional, agreeing with 20 state attorneys general that the Individual Mandate ...
In Billing
Sep 7th, 2018
Bundled payments seem to be cutting healthcare costs. One of the salient goals of the Affordable Care Act was to bring down the cost of care. As a result, the federal government attempted to assist in reducing the cost of care by implementing a program called Bundled Payments for procedures that are frequently performed for ...
In CMS
Apr 13th, 2018
The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama ...
In CMS
Feb 27th, 2018
Led by Texas’ attorneys generals, 19 other states have filed suit in the US court, North District of Texas, arguing the Patient Protection and Affordable Care Act, which is both known as the ACA and Obamacare, is no longer constitutional based on a previous case and the recent tax cut law. ACA “Unlawful” The states argue that ...
Communication is essential to a smooth appeals process. Your practice was the subject of a special investigation unit (SIU) audit, and now the payer is asking for a refund. You have two choices: pay or appeal. If you disagree with the findings, the smart choice is to meet with the payer, appeal the findings, and ...