Typical post-operative care, including related evaluation and management is not separately reportable; but, an unrelated evaluation and management service during a postoperative period may be. According to the Centers for Medicare and Medicaid...
More InfoChange to the inpatient admission order considered to be major. The Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System Final Rule, which becomes effective on Oct. 1. It’s 2,593 pages, so get...
More InfoThe big question for many who are new to running and operating an urgent care clinic is how to continue being profitable during a slow flu season in a very competitive market. There are eight key tips urgent care clinics can follow to optimize...
More InfoMedicare claims that do not meet date format requirements will be rejected. The Centers for Medicare & Medicaid Services (CMS) has released date formatting guidelines for the CMS-1500 claim form, which are effective for claims received on or...
More InfoWhat anesthesia, pain management providers should know about CMS’s 2019 proposed payment rule: 6 key points The CMS’ proposed Medicare Physician Fee Schedule for 2019 includes changes to the quality payment program and a slight increase in...
More InfoYou’ve seen the headlines splashed on TV and across the internet: data breaches hit national businesses such as Target, Chipotle, and many large healthcare systems. But data breaches don’t just affect large corporate entities, they affect small...
More InfoArtificial intelligence can alleviate revenue cycle management challenges About 64 million adults in America struggle to pay their medical bills. In fact, one in five Americans is considered to have delinquent medical debt. As high-deductible...
More InfoTransitional health insurance can be a critical benefit for individuals in the midst of financial uncertainty or major life changes. Transitional health insurance, otherwise known as a short-term health plan, is a temporary insurance policy...
More InfoUnderstanding the terms and provisions in a payer contract is key to maximizing reimbursement, preventing denials, and operating a smooth revenue cycle. Providers are in the business of keeping their patients healthy. But confusing payer...
More InfoThe Centers for Medicare & Medicaid Services (CMS) is modifying its Medicare coverage policy for continuous glucose monitors (CGMs) to support their use in conjunction with smartphones, including the data sharing function CGMs provide...
More InfoA decade ago, CMS enacted Hospital Inpatient Prospective Payment System (IPPS), a policy that penalizes hospitals for hospital-associated conditions (HAC) not present during admission. Recent research published in Infection Control & Hospital...
More InfoPhysician reimbursement is being increasingly impacted by patient satisfaction scores. Once, this was something only hospitals had to worry about, but now it’s affecting practices of all sizes. If you are participating in Medicare payment reform...
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