In Billing
Dec 3rd, 2014
HCPCS Level II codes G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination and Q0091 Screening Papanicolaou smear have been added to the list of preventive services paid by the Centers for Medicare & Medicaid Services (CMS), based on the All-Inclusive Rate (AIR) system for rural health clinics (RHCs) and federally qualified health ...
Jul 1st, 2011
Know the specifics so you’ll be current with home health service requirements. By Christopher A. Parrella, JD, CHC, CPC, CPCO Effective April 1, the Centers for Medicare & Medicaid Services (CMS) implemented new face-to-face encounter requirements for home health services (MBPM30.5.1.1). This new rule requires the certifying physician document all face-to-face encounters conducted with patients...
Feb 1st, 2011
Big changes to PQRI in 2011 put pay for performance in the spotlight. By Penny Osmon, BA, CPC, CPCI, CHC, PCS Updates to the Physician Quality Reporting Initiative (PQRI) signal that the shift from pay for reporting to pay-for-performance has begun. The 2011 Physician Fee Schedule final rule, issued Nov. 2, 2010 by the Centers ...
In Billing
Jan 3rd, 2011
The Centers for Medicare & Medicaid Services (CMS) has identified a claims processing issue that affects rural health clinics (RHCs) submitting claims for preventive health care services on or after Jan. 1, 2011.  Vigilance will help you assure proper reimbursement. Provisions in the Patient Protection and Affordable Care Act of 2010 (PPACA) waive the coinsurance ...
In Billing
Jan 3rd, 2011
Rural health clinics (RHCs) and federally qualified health centers (FQHCs) will see a slightly greater increase in 2011 payments than previously stated. The Centers for Medicare & Medicaid Services (CMS) recently corrected 2011 RHC and FQHC payment rates to reflect the 0.4 percent Medicare Economic Index (MEI) update published in the Physician Fee Schedule (PFS) final ...