Make sure your practice is billing testing and immunotherapy preparation and provision correctly. Allergy services are on the radar of third-party payer investigation units because they have found that many practices code and bill these services wrong. Similarly, many practices fail to follow the Medicare Part B rules for billing the preparation of the allergy ...
In Billing
Nov 21st, 2018
The 2019 Physician Fee Schedule (PFS) final rule doesn’t hold a lot of surprises for physical therapists, as the Centers for Medicare & Medicaid Services (CMS) finalized most of what they proposed for therapy services in July. To the relief of many commenters, however, there is one provision CMS didn’t follow through on — at least ...
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
Oct 30th, 2018
The government wants to lower Part B drug costs by matching them to international prices, but it’s neither going to be immediate nor easy. Reigning in Drug Prices In addition to industry efforts make medicines more affordable, the Centers for Medicare & Medicaid Services (CMS) announced it is soliciting public comments on a plan and ...
In Audit
Aug 21st, 2018
An OIG review shows Medicare overpaid outpatient hospitals as much as $25.8 million for complex simulations billed during audit period. Between 2013 and 2015, Medicare paid 1,193 hospitals $109,197,933 in bundled payments for intensity modulated radiation therapy (IMRT) — about $25,754,171 more than they should have, according to the Office of Inspector General (OIG). The ...