In CMS
Feb 21st, 2019
No doubt your provider’s office or group practice has sent patients via ambulance to the hospital. Now, Medicare wants ambulances to bring patients to you. This a 2020 change for medical coding of transports and for providers. And it may affect evaluation and management (E/M) coding in providers’ offices. Ambulances Redirected The Centers for Medicare ...
Since the 2014 federal mandate for providers to adopt electronic health records (EHRs), almost all healthcare organizations have made the switch over from paper medical records. With good intentions of better healthcare data capture and easier record sharing and portability, the EHR transition unfortunately opened a new list of problems. The good news is EHR technology ...
As payers like Aetna, ANthem, Cigna, Humana, UHC, SelectHealth, Blue Cross/Blue Shield embrace telehealth and establish their own programs, major healthcare networks are also reaping benefits from the exploding technology. Large networks like Kaiser Pemanente, Geisinger, Cleveland Clinic, and UPMC Health Plan are incorporating telehealth not only for outpatients but for inpatients. In an article ...
When provider and payer work together, everyone wins. By Marcia A. Maar, COC, CPC, CRC Clean, accurate provider documentation improves reimbursement. To demonstrate, consider the ideal reimbursement process: A patient comes in for an office visit or service. A provider documents the reason for the visit, which proves medical necessity for services provided on the ...
Under the Medicare Physician Fee Schedule (PFS), certain services (such as surgery) are valued and paid for as part of global packages that include the procedure and the services typically furnished in the periods immediately before and after the procedure. For each of these global packages, the Centers for Medicare & Medicaid Services (CMS) establishes ...