Medicare Compliance & Reimbursement
DOJ Case Illustrates the Woes of Upcoding
Medicare Compliance & Reimbursement
- Reimbursement:
Will You Be In or Out? Look at the Proposed MIPS Low-Volume Thresholds
CMS offers an olive branch to small and rural Part B providers. With Medicare reimbursement [...] - Consider These Other QPP Modification Highlights in the New Proposal
Here’s a quick checklist of what’s changed in the 2018 proposed rule on MACRA. Substantial [...] - E/M Coding:
Learn the Trick to Separating 99211 From Non-Billable Visits
Hint: In rare cases, 99211 can be used for a Rx pickup. Medicare providers likely [...] - Revenue Booster:
Get Your Facts Straight on the Difference Between Incident-To and Split/Shared Visits
Tip: Your documentation defines the type of service provided. With physicians on vacation, holiday, or [...] - Reader Question:
Can You Bill Medicare Even If You Aren't Enrolled?
Understand the out-of-network payment option. Question: Our orthopedic practice sees primarily pediatric patients at a children’s [...] - Industry Notes:
Lack of Votes Delays Unpopular Senate Healthcare Bill ... Again
Medicaid suffers the brunt of the legislation’s cuts in the newest release. If the wealth [...] - Industry Notes:
Concern Over NPI Fraud Prompts CMS Updates
New options and features allow for easier access amongst providers and suppliers. As privacy risks [...] - Industry Notes:
Don't Forget to Switch Out Your ABN Form
Tip: Watch the expiration dates. If you haven’t swapped out the old form for the [...] - Industry Notes:
DOJ Case Illustrates the Woes of Upcoding
Shoot for necessity and accuracy when billing for the services you render. Upcoding sits atop [...]
