In CMS
Jul 20th, 2018
If you’ve read about the Centers for Medicare & Medicaid Services’ (CMS) proposed changes for the  documentation, coding, and reimbursement of outpatient evaluation and management (E/M) service codes 99201-99215, you probably have some questions (If you haven’t read about the changes, do it!). Now, CMS is providing some answers. Following remarks by CMS Administrator Seema Verma, ...
In Billing
Dec 4th, 2014
The Centers for Medicare & Medicaid Services (CMS)  released a proposal it says will  “strengthen the Shared Savings Program for Accountable Care Organizations (ACOs) through a greater emphasis on primary care services and promoting transitions to performance-based risk arrangements.”  The agency said its proposed rule reflects input from program participants, experts, consumer grou...
May 1st, 2013
Part 4: Know what they are, how to write one, and why they are vital to the contracting process. By Marcia Brauchler, MPH, CPC, CPC-H, CPC-I, CPHQ What I call a “Health Plan Proposal” letter is an integral part of the contracting process. Drafting this letter helps you to gather your thoughts and puts you ...