Medicare Compliance & Reimbursement
Ensure External Morbidity Codes Are Secondary
Medicare Compliance & Reimbursement
- Policy:
CMS Finalizes Telehealth Expansion for Medicare Advantage
Cost-savings is at the heart of the final rule. CMS continues to reshape healthcare, ensuring [...] - Modifiers:
Resolve Modifier 25 Troubles With This Expert Insight
Tip: Recognize the differences between modifiers’ 25 and 57. Most Medicare providers see beneficiaries for [...] - Pocket These Modifier 25 Essentials
Tip: Documentation must show medical necessity. Modifier 25 (Significant, separately identifiable evaluation and management service [...] - E/M Coding:
Test Your ROS Smarts With This Q & A
Tip: Thorough documentation helps determine the E/M level. When choosing the correct E/M level for [...] - Reader Question:
Ensure External Morbidity Codes Are Secondary
Question: In the interests of painting the most complete diagnosis picture possible, our coding manager [...] - Reader Question:
Know When It's Ok to Write Off a Patient's Bill
Question: We have had a few patients who don’t pay their bills, even if we [...] - Industry Note:
Review Your MIPS 2018 Performance Feedback
You can no longer submit 2018 Merit-Based Incentive Payment System (MIPS) data, but you can [...] - Industry Note:
CMS Drops Another Podcast
If you haven’t heard, CMS is now offering policy highlights, thoughts, and ideas via podcast. [...] - Industry Note:
MBI Usage Stays On Target
The majority of providers are successfully submitting Medicare claims with Medicare Beneficiary Identifiers (MBIs). For [...] - Industry Note:
Patient Coordinator Pleads Guilty for HIPAA Violation
Under HIPAA, covered entities (CEs) are responsible for ensuring that their patients’ protected health information [...]
