Apr 1st, 2012
To keep designated health services in the clear, know Stark regulations and their exceptions. By Julie E. Chicoine, Esq., RN, CPC Physicians and their practices are undergoing increased government scrutiny with regard to their referrals and financial relationships for health care services. At the heart of this scrutiny lies the physician self-referral law, known as ...
Apr 1st, 2012
The benefits of taking on a new specialty are worth the initial extra legwork. By Pam Brooks, CPC The trend toward comprehensive patient care will create a demand for many new multi-specialty practices. As practices expand, the need for specialty coders will, too. But these jobs won’t come without challenges. Even experienced coders can become ...
In Billing
Jan 13th, 2012
On Dec. 23, 2011, just hours before leaving for the holidays, Congress acted to stall a 27.4 percent cut in Medicare payments that would have gone into affect Jan. 1 of this year. The measure was part of a larger package that included extensions of payroll tax cuts and unemployment benefits. President Barack Obama signed ...
In Billing
Nov 2nd, 2011
The Centers for Medicare & Medicaid Services (CMS) has released the 2012 Medicare Physician Fee Schedule (MPFS) rates final rule.  The payment rate adjustment is effective for services delivered on or after January 1, 2012.  As you will note, the announced rate reflects a 27.4 percent SGR downward adjustment.  This downward adjustment is slightly less ...
In Billing
Nov 2nd, 2011
The Centers for Medicare & Medicaid Services (CMS) released, Nov. 1, a sneak peek at the final rule with comment period that will update payment policies and rates for physicians and nonphysician practitioners (NPPs) for services paid under the Medicare Physician Fee Schedule (MPFS) in 2012. For the 11th consecutive year, physicians face deep, across-the-board cuts ...