In Billing
May 2nd, 2014
A final rule that could increase payments for Federally Qualitfied Health Centers (FQHC) by as much as 32 percent was released April 29, 2014 by the Centers for Medicare & Medicaid Services (CMS). The rule establishes a Medicare Prospective Payment System (MPPS) for FQHCs. FQHCs provide access to medical services to millions of patients in ...
In Billing
May 1st, 2014
April 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update 2015 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs). CMS projects the payment rate update to general acute care hospitals will be 1.3 percent in 2015, and the rate update ...
Feb 15th, 2013
By Dorothy Steed, CPAR, CPC-H, CPC-I, CEMC, CFPC, CPMA, CHCC, CPUM, CPUR, CPHM, CCS-P, RCC, RMC Same-day hospital readmission trends remain a bone of contention for the Office of Inspector General (OIG), as indicated in the agency’s 2013 Work Plan. Not only is there concern for possible premature discharge, there are certain reporting requirements that ...
Aug 1st, 2012
By Jacqueline Nash Bloink, MBA, CPC-I, CHC The Centers for Medicare & Medicaid Services (CMS) has begun a campaign to educate Medicare beneficiaries about preventive services, including wellness visits, available to them. There is even a YouTube clip to promote these visits. If CMS believes these visits are such a great service for the beneficiary, ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...