In Coding
Feb 27th, 2019
Meet outpatient quality reporting requirements or prepare for a payment reduction. Using Hospital Outpatient Prospective Payment System (OPPS) methodology, the Centers for Medicare & Medicaid Services (CMS) based 2019 OPPS payments on 2017 claims data submitted by hospital providers, resulting in an estimated 1.35 percent increase. Hospitals that fail to meet the hospital outpatient quality ...
Mar 1st, 2011
As the physician role evolves, professional coders become more important than ever to reimbursement. By Sylvia Adamcik, CPC, CPC-I, CCS-P At my age, I know how much the physician office visit has changed over the years, and I have a pretty good idea of what it will be like in the future. A Simpler Time ...
The new three-day payment rule may be part of the 2011 Inpatient Prospective Payment System (IPPS) final rule but outpatient coders are not immune. The new rule requires inpatient and outpatient coders to work together to avoid improper claims payment. Michelle A. Leppert, CPC-A, senior managing editor for justcoding.com talks with Jennifer Hume, CPC, CPMA, ...
In CMS
Aug 17th, 2009
The Office of Inspector General (OIG) is worried physicians are billing for services provided by unqualified help, so it just audited Medicare incident-to claims for 2007. What it found made the agency ask the Centers for Medicare & Medicaid Services (CMS) to review its incident-to policies. OIG Eyes Unqualified Help in Incident-to was last modified: July 5th, 2011 by admin ...