Medicare Compliance & Reimbursement
Rampant E/M Overbilling Prompts Violations and Millions in Fines
Medicare Compliance & Reimbursement
- Reimbursement:
Get Ready: New Alternative Payment Model Promises to Transform Primary Care
But CPC+ model could create dire problems for ACOs’ MSSP participation. In a further move [...] - Understand the CPC+ Model's 5 Key Components
Can you provide enhanced office hours and 24/7 access? Before you jump on-board with the [...] - Reimbursement:
Primary Care Doctors Celebrate the Shift
When the Centers for Medicare & Medicaid Services (CMS) rolled out the Comprehensive Primary Care [...] - Revenue Booster:
Cut Down On Errors to Maximize Cash Flow Like this Solo Practitioner
Tip: Instituting low-cost technology enables you to pay closer attention to detail. Time is money, [...] - Replace Poorly Scribbled Notes with Technology
Tip: Focus on your patients, not your notes. If you repeatedly face downcoded or denied [...] - Compliance:
OIG Takes Aim at Outpatient Payments
Plus: EHR efforts fall short. The HHS Office of the Inspector-General’s (OIG) latest Compendium of [...] - Home Health Compliance:
Flawed Pilot Vexes Home Care Industry
Prior authorization not the only provision in CMS notice that may affect you. Medicare’s proposal [...] - Reader Question:
Tell the Payer What You Are Coding For
Question: When should I use modifier 26? Answer: CPT® designed modifier 26 (Professional component) for use when [...] - Industry Note:
Rampant E/M Overbilling Prompts Violations and Millions in Fines
The Department of Justice (DOJ) continues to crack down on fraudulent E/M claims. The law [...] - Industry Note:
AHA Warns About New Digital Attacks
As hospitals strive to become more efficient and tech savvy with the increase of electronic [...]
