In CMS
Jul 26th, 2018
The Centers for Medicare & Medicaid Services (CMS) has posted a 22 minute promotional video hosted by Administrator Seema Verma about the agency’s evaluation and management (E/M) payment changes in the 2019 proposed Physician Fee Schedule. The video features a panel of CMS-related providers, follows up on an introductory video posted earlier this year. Providers will ...
The Centers for Medicare and Medicaid Services (CMS) released a Final Rule freeing more than $10.4 billion to anxious payers to continue the Affordable Care Act’s (ACA) risk adjustment program. The agency had halted payments to payers while a New Mexico ruling was challenged, but in the end the activity unnerved the industry and didn’t change much. Risk Adjustment ...
In Billing
May 14th, 2018
Clinical diagnostic laboratories can look forward to 12 new laboratory codes were effective April 1 and one code effective retroactively January 1. The Centers for Medicare and Medicate Services (CMS) released the changes May 5, 2018. The new codes are contractor priced until addressed at the annual Clinical Laboratory Public Meeting in July. All the U ...
In Billing
May 8th, 2018
Knee orthoses are one of the highest sources of errors, a letter from CGS to providers warns, and the Medicare Administrative Contractor’s (MAC) wants providers to be more careful with documentation and reporting. How Do We Get Paid? The Centers for Medicare & Medicaid Services (CMS) requires medical necessity for the diagnosis or treatment of the ...
In Billing
May 3rd, 2018
Telemedicine allows patients who otherwise may not have access to specialized care to receive necessary services. Payers have begun to embrace telehealth services as a positive benefit for these patients, but providers must learn the telehealth coverage and billing requirements for their insurer and locale. Telemedicine Is Gaining Acceptance Many states have approved of, or ...