CMS Administrator Seema Verma announced Thursday the agency will overhaul coding regulations that she argues have hindered beneficiary access to new medical technology. Medical device companies will now be able to apply for a new permanent...
More InfoThe FY 2020 IPPS proposed changes could bode well for many facilities. There has been much discussion about the Centers for Medicare and Medicaid (CMS) Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2020 proposed rule and its...
More InfoMedicare payments for the top 10 current procedural terminology codes (CPT Codes) performed by ASCs are expected to remain relatively stable in 2019 compared to 2018, according to VMG Health. CPT Code 66984: Cataract surgery with insertion of...
More InfoDON’T COUNT ON THE EHR FOR UROLOGY BILLING CODES Electronic health records have a function, which practices can turn on or off, that suggests level of service codes based on documentation. But that’s only part of what goes into proper coding...
More InfoThe global medical billing outsourcing market is poised to expand for years to come as medical practices face challenges related to multiple payers and medical code representation, and large practices consolidate, according to a new report by...
More InfoPain management during the global period of a procedure, if related to that procedure, is not separately reportable. If a provider other than the operating provider performs follow-up care, you must be careful to avoid “unbundling” of that...
More InfoCMS has released the inpatient psychiatric facility proposed rule. Approximately $75million is projected to be paid to inpatient psychiatric facilities (IPF), according to the Centers for Medicare & Medicaid Services (CMS) proposed 2020...
More InfoThis year’s reporting for the Quality Payment Program will affect the 2021 payment year. Kevin J. Corcoran, COE, CPC, CPMA, FNAO, delivered his annual update at Hawaiian Eye 2019, highlighting changes CMS would be making this year for...
More InfoModerate sedation, also sometimes referred to as conscious sedation, is a drug-induced depression of consciousness. A patient who has been sedated in this way is relaxed and generally insensitive to pain, but remains awake and able to respond to...
More InfoThe focus on electronic health record implementation has turned to how to make use of the vast data stored within to improve revenue cycle operations (IRF). Proposed rule calls amending regulations clarifying the determination as to whether a...
More InfoThe focus on electronic health record implementation has turned to how to make use of the vast data stored within to improve revenue cycle operations. “These EHRs capture so much data. The trick is translating that data into...
More InfoSuggestions for conducting peer-to-peer appeals for denials management. Claims Automation has been a part of the workers’ compensation and auto casualty industries for years, but today, a large opportunity still remains to increase in the claims...
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