Medicare Compliance & Reimbursement
Medicare Regulations:
Medicare Part B Covers a Separate Cognitive Assessment Visit
Question: We have a few patients that are complaining about mental decline. I thought I sa... Read more
Medicare Part B Covers a Separate Cognitive Assessment Visit
Question: We have a few patients that are complaining about mental decline. I thought I sa... Read more
Compliance:
Use These Strategies to Align Your CDI and Coding Teams
Hint: Compliance programs offer built-in structures you can use. Moving from siloed to co... Read more
Use These Strategies to Align Your CDI and Coding Teams
Hint: Compliance programs offer built-in structures you can use. Moving from siloed to co... Read more
Compliance:
Know Difference Between Documentation Amendment and Addendum
Question: Why can't a provider “unsign” a medical record, and then go back in and chan... Read more
Know Difference Between Documentation Amendment and Addendum
Question: Why can't a provider “unsign” a medical record, and then go back in and chan... Read more
Medicare Regulations:
Know Actual ‘Housebound’ Definition
Question: The providers I work for see a lot of elderly Medicare beneficiaries who rarely ... Read more
Know Actual ‘Housebound’ Definition
Question: The providers I work for see a lot of elderly Medicare beneficiaries who rarely ... Read more
Medicare Regulations:
Get a Handle on the 2 MPFS Conversion Factors in 2026
Revenue cycle management teams should expect ongoing payment differences between QP and no... Read more
Get a Handle on the 2 MPFS Conversion Factors in 2026
Revenue cycle management teams should expect ongoing payment differences between QP and no... Read more
Compliance:
Don’t Bill Incident to in Avoidance of Sanctions
Question: There's a doctor who recently joined our practice from out of state and is havin... Read more
Don’t Bill Incident to in Avoidance of Sanctions
Question: There's a doctor who recently joined our practice from out of state and is havin... Read more
Medicare Regulations:
Fight Back Against Parenteral Nutrition Claim Denials
Don't let parenteral nutrition claims tank your patient care, compliance, or revenue cycle... Read more
Fight Back Against Parenteral Nutrition Claim Denials
Don't let parenteral nutrition claims tank your patient care, compliance, or revenue cycle... Read more
Medicare Regulations:
Don’t Use Q6 for Global Services or Fees
Question: I work for a surgical practice, and one of our providers is going out for a surg... Read more
Don’t Use Q6 for Global Services or Fees
Question: I work for a surgical practice, and one of our providers is going out for a surg... Read more
Compliance:
Look to Location-Specific Guidance for These Documentation Attestations
Question: How much time does a physician have to make an attestation for documentation tha... Read more
Look to Location-Specific Guidance for These Documentation Attestations
Question: How much time does a physician have to make an attestation for documentation tha... Read more
Medicare Regulations:
Get Ready for the New Medicare Claim Edit for Hospice Patients
Question: Our manager talked to clinical and office staff about proper application of cond... Read more
Get Ready for the New Medicare Claim Edit for Hospice Patients
Question: Our manager talked to clinical and office staff about proper application of cond... Read more
Compliance:
Bolster Your Compliance With a Global Approach
Don't focus so much on billing and coding that you miss compliance weak spots elsewhere. ... Read more
Bolster Your Compliance With a Global Approach
Don't focus so much on billing and coding that you miss compliance weak spots elsewhere. ... Read more
Compliance:
Watch Out for This Pre-Charting Risk
Question: What can I say to my providers to help them understand the risks of “convenien... Read more
Watch Out for This Pre-Charting Risk
Question: What can I say to my providers to help them understand the risks of “convenien... Read more
Medicare Regulations:
Prepare for Implementation of Key TEAM Components and Waivers for Telehealth
Ensure staff know about the details, participation, and payment requirements for telehealt... Read more
Prepare for Implementation of Key TEAM Components and Waivers for Telehealth
Ensure staff know about the details, participation, and payment requirements for telehealt... Read more
Compliance:
Lean on Due Legal Process to Comply With HIPAA
Question: Should our medical practice be asking patients about their citizenship or immigr... Read more
Lean on Due Legal Process to Comply With HIPAA
Question: Should our medical practice be asking patients about their citizenship or immigr... Read more
Medicare Regulations:
Make Preparations for New Version of the Outpatient Observation Notice for Medicare
Question: I understand there is a new Medicare Outpatient Observation Notice (MOON) that w... Read more
Make Preparations for New Version of the Outpatient Observation Notice for Medicare
Question: I understand there is a new Medicare Outpatient Observation Notice (MOON) that w... Read more
Medicare Regulations:
Patient Representatives Can Be Appointed, if Necessary
Question: One of our patients, a 95-year-old widowed Medicare beneficiary who has terrible... Read more
Patient Representatives Can Be Appointed, if Necessary
Question: One of our patients, a 95-year-old widowed Medicare beneficiary who has terrible... Read more
Compliance:
Understand the ‘Circle of Life’ for Auditing to Tell the Whole Story
Check in on the systems in place that provide the foundation for coding. Auditing is cru... Read more
Understand the ‘Circle of Life’ for Auditing to Tell the Whole Story
Check in on the systems in place that provide the foundation for coding. Auditing is cru... Read more
Compliance:
Counting This Work Toward ‘Time’ Is a Compliance Red Flag
Question: I've recently started at a practice and think one of the providers must be count... Read more
Counting This Work Toward ‘Time’ Is a Compliance Red Flag
Question: I've recently started at a practice and think one of the providers must be count... Read more
Medicare Regulations:
Learn What's New Regarding Medicare Diabetes Prevention Program Expanded Model
Brush up on key changes to excel in effective program delivery. The Centers for Medicare ... Read more
Learn What's New Regarding Medicare Diabetes Prevention Program Expanded Model
Brush up on key changes to excel in effective program delivery. The Centers for Medicare ... Read more