2019 Payment Adjustment Information – How To Avoid Medicare Payment Penalties With Basic Reporting. The Medicare Quality Payment Program (QPP) is designed to potentially reward physicians for providing quality, high-value care to Medicare patients. This is the first year physicians will need to report on quality measures under the new Quality Payment Program (QPP) from […]
New Medicare cards offer greater protection to more than 57.7 million Americans. New cards will no longer contain Social Security numbers, to combat fraud and illegal use. The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from Medicare cards to help combat identity theft, and […]
Billing Headaches: Is There a Code for That? Denials become even more of a threat as the finer points of medical coding and billing become overwhelming challenges for many practices. Under ICD-10, the stakes have never been higher. Recent research confirms that ICD-10 as currently implemented is seriously flawed. In 2015, the University of Illinois […]
It’s A Fact of Life Now, For Better or Worse. ICD-10, with its tenfold increase in the medical billing codes (MBC) that healthcare providers and payers depend on for every aspect of medical diagnostics, treatment, and compensation, has been in place for nearly two years now. How has it worked out so far? Well, that […]
Becker’s Hospital Review is a respected forum for healthcare industry thought leaders and has long offered valuable insights into the latest healthcare trends. In these disruptive times, amidst sweeping changes, generalities are scarce and predicting the future is riskier than ever. Here are the unalloyed truths and toughest advice from industry experts who have been […]
If You’re Not in the Lead, You’re Falling Behind. A survey conducted in July of last year found that less than half of providers are using commercial automated claims denial management systems. Considering that denials are on the rise, any organization that isn’t actively working on this issue is jeopardizing their bottom line. In fact, as value-based-care […]