Advanced Search

Medicare Compliance & Reimbursement

Compliance:
Insufficient Documentation Remains Top CERT Woe
Tip: Back up claims with stronger notes and details. Medical necessity, correct coding, a... Read more
Figure Out Where Your State Ranks in the Improper Payment Stats
Usual suspects impact the overall numbers. Error rate benchmarking is tricky. Larger stat... Read more
HIPAA:
Feds Hike CMPs for 2022
Increase was effective Nov. 15. As practice costs continue to rise due to inflation, you ... Read more
Audits:
Determine Audit Focus Area to Improve Results
Hint: Deciding on scope of audit cuts costs and time. Audits allow you to keep your Medic... Read more
Reader Question:
Here’s the Scoop on Free Samples for Patients
Question: Our practice physicians have frequently supplied free samples to our patients. T... Read more
Industry Notes:
Courts Wrangle Over CMS’ COVID Vax Mandate
If you're confused about whether to follow Medicare's COVID-19 vaccination mandate or take... Read more
Industry Notes:
Feds Offer Fresh Guidance With No Surprises Act Website
As the Centers for Medicare & Medicaid Services (CMS) continues to tweak its No Surpri... Read more
Covid-19:
Court Halts CMS Vaccine Mandate
Plus: OSHA suspends COVID ETS enforcement … for now. Legal wrangling back and forth ove... Read more
Know These CMS Rule Specifics
Since a resolution on the CMS COVID-19 vaccination mandates hangs in the balance, you may ... Read more
MIPS Reimbursement:
Traditional MIPS Still Plays a Part in 2022 Final Rule
But: Policies do promote an easier transition to MVPs for 2023. You might feel as though... Read more
Don’t Forget to Check Your MIPS 2022 Participation Status
Remember, you can opt in, too, if you don't meet the requirements. Not every Medicare pro... Read more
Reader Question:
Understand the Logistics of These Telehealth Codes
Question: With flu season in full swing and the COVID numbers slated to go back up, we ar... Read more
Industry Notes:
CMS Plans to Hike Part B Premiums Next Year
With Medicare policy changes coming out weekly, you're probably used to fielding daily qu... Read more
Industry Notes:
See the Latest on ARP Rural Payments
If you applied for available American Rescue Plan (ARP) Rural funding this fall, the feds ... Read more
Industry Notes:
CMS Commences No Surprises Act-Related Committee for Ambulance Billing
With ambulance costs skyrocketing, the Centers for Medicare & Medicaid Services (CMS) ... Read more
Reimbursement:
COVID Plays a Big Role in 2022 MPFS Policies
Final rule offers both highs and lows. A Medicare payment boost may not be in the cards n... Read more
Will Your Specialty Get a CF Boost in 2022? Find Out
Will Your Specialty Get a CF Boost in 2022? Find Out With COVID surges expected through t... Read more
Medicare Physician Fee Schedule:
Pocket These 5 Fee Schedule High Points
Telehealth, split/shared changes offer providers some positives. Though you may see the ... Read more
Modifier Mythbusters:
Bolster Unrelated E/M Coding With Modifier 24 Smarts
Hint: Review Medicare guidelines before submitting your claims. Even the most seasoned c... Read more
Reader Question:
Here’s the Scoop on Giving Gifts to Beneficiaries
Question: In the past, our practice has given a small token of appreciation to our most va... Read more
Industry Notes:
CMS Extends CY 2021 PI Program and eCQM Submissions’ Deadlines
Eligible hospitals and critical access hospitals (CAHs) have a little more time to compile... Read more
Industry Notes:
COVID-19 PHE Gets Renewed for a 7th Time
The COVID-19 public health emergency (PHE) isn't going away any time soon, suggests the la... Read more
Industry Notes:
MAC Offers CS Modifier Guidance
If you're still confused about how to correctly utilize modifier CS (Cost-sharing waived f... Read more
Billing:
Feds Release Second Part of Surprise Billing Regs
Know the facts on new patient notification requirements. You may have thought the feds w... Read more
CPT® 2022:
Prepare for This 99211 Revision Effective Jan. 1
Plus: See the latest ‘new' COVID codes that aren't actually new. With COVID-19 still do... Read more
Compliance:
Nursing Homes, SNFs Sit Atop OIG’s Target List
Latest report focuses on the importance of infection control. Nursing homes and skilled n... Read more
Reader Questions:
Know the Facts on Timely Filing Extensions
Question: At our practice, we are very careful to submit our Medicare fee-for-service... Read more
Reader Questions:
Don’t Shirk on Medical Device Management
Question: We monitor many of our Medicare beneficiaries through medical devices, part... Read more
Industry Notes:
Send Your Medicare Appeals to the Right Place
If your appeals seem to be stuck in traffic, you may be sending them in the wrong directio... Read more
Industry Notes:
CMS Updates QPP Resource Library With Fresh Guidance
If you have questions about the Quality Payment Program (QPP), the Centers for Medicare &a... Read more
Industry Notes:
MAC Offers Due Date Insight for Revalidation Quandaries
Now that Medicare revalidation is back in action, you may want to check and see when your ... Read more
HIPAA:
Know the Facts on the Privacy Rule, COVID Vaccinations, and Workplace Requirements
OCR offers a pandemic-inspired HIPAA update with new Q&As. If you're wondering whethe... Read more
Reimbursement:
Keep Tabs on Lab Requests to Sidestep MAC Scrutiny
Plus: E/M codes, diagnostic testing are among top Part B errors. When your organization... Read more
Quiz:
Check Your Medicare Audit Know-How
Tip: ADR timelines may differ by audit type. Now that Medicare claims reviews are back i... Read more
Compliance:
Improve Claims Auditing With Enhanced Communication
Tip: Boost E/M coding with a comprehensive review of documentation. Reviewing claims fo... Read more
Industry Notes:
Submit PRF Phase 4 Applications ASAP
If you are eligible for Phase 4 HHS Provider Relief Fund (PRF) payments and plan on applyi... Read more
Industry Notes:
AIC Thresholds Remain Status Quo for 2022
Filing an administrative law judge (ALJ) request next year just got a little bit easier. Y... Read more
Industry Notes:
CMS Proposes Reversal of MCIT Final Rule
Medicare coverage for groundbreaking technology may need a few more touchpoints than origi... Read more
Fraud & Abuse:
Feds Fixate on Drug Fraud in Fall Enforcement
Warning: Latest round of settlements target physicians. As the nation continues to grappl... Read more
E/M Coding:
Fine-Tune MDM Documentation When Coding E/M Charts
Tip: Utilize notes in long-term treatment planning. If your outpatient E/M coding is sti... Read more
HIPAA:
Protect Your Practice With a Well-Documented HIPAA Security Plan
Tip: Cultivate compliance and include training for all staff. An annual security risk ass... Read more
Reader Question:
Pocket These ICD-10 Codes for Adverse COVID Vaccination Reactions
Question: Our large practice has been administering COVID-19 vaccines to our Medicare ben... Read more
Industry Notes:
CMS Extends MIPS 2020 Targeted Review Deadline
If you haven't had the chance to check out your updated Merit-Based Incentive Payment Syst... Read more
Industry Notes:
Get the Scoop on COVID Boosters
The verdict on COVID-19 booster shots is in. The feds have determined and authorized that ... Read more
Industry Notes:
Part B MAC Reports Flu Vaccination Claims Issues Are on the Rise
Even though the 2021-2022 flu season just commenced on Aug. 1, one Medicare carrier is alr... Read more
COVID-19 Vaccinations:
Feds Make COVID Vaccine Mandates Part of CoPs
CMS plans to issue finalized guidance in October. As COVID cases trend ever upward, the ... Read more
Medicare Appeals:
Augment Your Appeals Success With These 5 Steps
Tip: Don't forget about NCCI edits. One of the benefits of being a Medicare provider is t... Read more
Medicare Provider Enrollment:
Get Ready for Revalidations to Restart
Understand how MPFS 2022 proposals may impact future enrollment. If you've been enjoying ... Read more
Reader Questions:
Remember HIPAA Privacy at Check-In
Question: The family practice I work for is the only medical office in our small town. We ... Read more
Industry Notes:
HHS Offers 60-Day Grace Period on PRF Reporting
The Department of Health and Human Services (HHS) understands the struggles providers are... Read more
Industry Notes:
Check Out New Billing Insight for RHC/FQHC Hospice Attendings
The Centers for Medicare & Medicaid Services (CMS) recently issued new hospice attendi... Read more
Industry Notes:
DOJ Issues Another Warning on Fake COVID Vaccination Cards
Be careful no one in your practice or agency is committing this crime. The Department of J... Read more
Reader Questions:
Know These Facts on Non-Medicare Payer Audits
Question: We treat pediatric patients, so we don't submit many Medicare claims, except in ... Read more
Medicare Part B Drugs:
Feds Keep Most Favored Nation Drug Model on Hold
Urgent: Submit comments by the Oct. 12 deadline. After months of legal wrangling and publ... Read more
Covid-19 Round-Up:
Add These 3 Updates to Your Pandemic Arsenal
Critical: COVID variants continue to impact policymaking. With the Delta variant ratche... Read more
First COVID Vax Gets Full Approval
Hint: Get ready for ‘Comirnaty.' Even though your practice may already be fielding COVI... Read more
E/M Coding:
Master ED E/M Rules With These Expert Tips
Warning: OIG just added ED E/M services to the Work Plan. The reporting rules for evalu... Read more
Industry Notes:
TPE Medical Reviews Are Back in Action
Tip: Check with your MAC for a definite start date. You can expect some extra scrutiny of... Read more
Reimbursement:
MVPs Are Major Focus of QPP 2022 Proposals
Caution: CMS wants to sunset traditional MIPS by 2027. The feds have significantly tweake... Read more
Medicare Shared Savings Program:
ACOs Get More Time on eCQM Reporting Requirement
Plus: Register the MSSP proposal on repayment of losses. CMS offers Accountable Care Orga... Read more
ICD-10-CM:
Add SDoH Context to Documentation With These New ICD-10 Codes
The 2022 revisions offer extra insight on Social Determinants of Health. You can find se... Read more
Reader Questions:
See the Latest on PRF Appeals
Question: Our practice received Cares Act Provider Relief Fund (PRF) payments, and that mo... Read more
Industry Notes:
Be on the Lookout for Faux COVID-19 Vaccination Cards
Warning: Feds target counterfeiters in new enforcement. With vaccination mandates on the ... Read more
Reader Questions:
Do the States or HIPAA Have the Final Word on Records’ Request Fees?
Question: Since patients' rights to access their medical records continue to dominate the ... Read more
Medicare Physician Fee Schedule:
Expect More Telehealth Changes and Options in 2022
Plus: CMS focuses on health equity in latest proposals. With the COVID-19 public health ... Read more
Reimbursement:
CMS Proposes Major Cut to the 2022 Conversion Factor
Offer your opinion by the Sept. 13 deadline. If you thought that the feds would allow the... Read more
Mythbusters:
Debunk 5 Documentation Myths With Expert Advice
Tip: Ensure all parties submit the same information to payers. There's more to a patient... Read more
Industry Notes:
CMS Renovates Data Set Search Tools
The Centers for Medicare and Medicaid Services (CMS) recently updated its data.CMS.gov sit... Read more
Industry Notes:
See the New Website for All Things CERT-Related
The CERT C3HUB web site at https://c3hub.certrc.cms.gov “is designed to provide Medicare... Read more
Industry Notes:
HHS Extends the COVID PHE for a 6th Time
As the COVID-19 public health emergency (PHE) remains in full force, the Department of Hea... Read more
Evaluate These 4 E/M Highlights From the 2022 MPFS
The calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) proposed rule covers a ... Read more
Reader Questions:
Check OIG Excluded List Before Hiring Staff
Question: Our small practice doesn't routinely check the HHS Office of Inspector Gene... Read more
Reader Questions:
Understand the Differences Between These 2 MDM Tables
Question: Can we use examples from the Table of Risk currently provided by the Centers for... Read more
Balance Billing:
Feds Issue New Rule on ‘Surprise Billing’
Weigh in on the changes before the deadline. If you're reworking your billing protocols, ... Read more
COVID-19 Round-Up:
Get the Scoop on 5 COVID Updates
GAO continues to study long-term impact of Medicare waivers. Navigating the pandemic high... Read more
Documentation:
Manage Claims Success With Medical Necessity Smarts
Tip: Clear and concise documentation can validate medical necessity, too. A firm grasp of... Read more
Reader Questions:
Know the Privacy Specifics on Psychotherapy Notes
Question: One of our patients is demanding that we release all of his records — includin... Read more
Reader Questions:
Know the Facts on Stark Law Advisory Opinion Requests
Question: Does the HHS Office of Inspector General (OIG) issue advisory opinions on the St... Read more
Industry Notes:
Make Sure to Send Your MAC the Right Credit Balance Form
If you need to return a payment to Medicare, check that you are using the most updated ver... Read more
Industry Notes:
2019 QPP Performance Data Is Now Live on Medicare Care Compare
If you participated in the Merit-Based Incentive Payment System (MIPS) for Perform... Read more
Incident-To Coding:
Add These 5 Tips to Your Incident-To Playbook
Hint: Don't meet the requirements? Bill under the APP's NPI. When you're reporting incid... Read more
Provider Relief Funds:
Check Out the Latest PRF Deadline and Reporting Turnarounds
Heads up: More PRF funding may be on the way. The Department of Health and Human Service... Read more
Clip And Save:
Bolster Your POS Coding With This Primer
Tip: Review descriptions thoroughly to avoid POS confusion. One of the easiest ways to en... Read more
Reader Question:
Steer Clear of Blanket Claim Resubmissions
Question: We have several claims that our payer is taking more than 30 days to process or ... Read more
Industry Notes:
Supreme Court Upholds ACA … Again
In its third legal go-round, Obamacare triumphs again after the U.S. Supreme Court confirm... Read more
Industry Notes:
Feds Add $3 Billion to Next-Gen COVID Therapy Research Coffers
The government continues to promote COVID-19 vaccination as the best bet to thwart the vir... Read more
Industry Notes:
Physician Group Settles E/M Upcoding Charges
If you think upcoding now and then is no big deal, think again. A recent Department of Jus... Read more
Enforcement:
COVID Fraud Sits Atop OIG’s Hit List
Providers of all shapes and sizes should be ready for extra scrutiny. If you expected the... Read more
Compliance:
Check Out These Other Issues on OIG’s Radar
Medicare benes' opioid use went up during the reporting period. Just because the feds are... Read more
Reimbursement:
Get Ready for These FY 2022 SNF Proposals
The numbers are in on PDPM, and CMS is realizing its bets were off. Medicare policy turna... Read more
Clip And Save:
Curtail PI Confusion With This Nifty Comparison Chart
Understand how they vary and impact quality incentives. If differentiating between Medica... Read more
Reader Question:
Gauge Whether Visits Were Related
Question: We had a patient come into our emergency department (ED) then leave after seeing... Read more
Industry Notes:
CMS Increases Payments for At-Home COVID Vaccination
In another effort to boost COVID-19 vaccinations for Medicare beneficiaries, the Centers f... Read more
Industry Notes:
Here’s the Latest on CMS’ New Administrator
The Centers for Medicare & Medicaid Services (CMS) finally has an official Administrat... Read more
Medicare Provider Enrollment:
Know These 5 Facts on Provider Enrollment in the OTP
Ensure you have these critical documentation items upfront. There's no denying that the ... Read more
Check Out These Additional Opioid Epidemic Help Sites
Tip: Make opioid prescribing compliance a priority. Even if you're not a Medicare Opioid ... Read more
Hospice Reimbursement:
Get the Scoop on 2022 Hospice Payment Rate Proposals
Hint: Hospice size and location could impact your bottom line. It's proposed rule season... Read more
Register 5 Other Hospice Proposed Rule High Points
Tip: Expect quality reporting changes. There's no doubt hospices will find the proposed 2... Read more
Reader Question:
Nix Denials With These E-Signature Facts
Question: Electronic signatures seem like the easiest route to go with so many of our... Read more
Industry Notes:
Feds Update Work Plan With Additional PRF Payment Scrutiny
Organizations that received HHS Provider Relief Fund (PRF) payments may want to prepare fo... Read more
Industry Notes:
Lackluster MIPS 2020 Data Causes Cost Category Reweighting
If you were worried about your Merit-Based Incentive Payment System (MIPS) numbers... Read more
COVID-19 Round-Up:
Feds Bump Up COVID Treatment Payments
Plus: Add these other updates to your wheelhouse. With COVID policies changing daily, you... Read more
AMA Offers Imminent Novavax Vaccine Code Update
On May 4, the American Medical Association (AMA) announced provisional CPT® codes for the... Read more
Telehealth:
Review Your State’s Laws on Telehealth Services
Tip: Stay compliant with state medical board updates. Over the last year, COVID-inspired ... Read more
Telehealth Policy:
See How the Interstate Medical Licensure Compact Impacts Telehealth
Hint: Not every state is on board. If you practice medicine in a state that's part of t... Read more
Vendors:
Construct a Vendor Scorecard for EHR Check-ups
BA issues continue to plague providers in 2021. If you're in the market for a new EHR ve... Read more
Reader Question:
Know This Important Fact on Scribes
Question: We just started having one of our medical assistant's act as a scribe for a... Read more
Industry Notes:
Feds Urge All Industries to Beef Up Cybersecurity
The Colonial Pipeline ransomware fallout has caused the feds to issue an advisory covering... Read more
Industry Notes:
Opine on OSHA’s Bloodborne Pathogen Requirements
The Occupational Safety and Health Administration (OSHA) wants to know what you think of i... Read more
Telehealth Update:
FCC Opens Round 2 of COVID-19 Telehealth Program
Urgent: Apply before the window closes May 6. With the pandemic expected to stretch into... Read more
Medicare Provider Enrollment:
Feds Slow-Walk Provider Affiliation Mandates
Don't expect the CMS-855 application update any time soon. If you were worried about disc... Read more
COVID-19:
Get the Scoop on 5 New COVID-Related Updates
Tip: Stay in the loop as policies are changing fast. With about 30 percent of the U.S. po... Read more
Documentation:
Fortify Your Documentation With Expert Insight
Tip: Know the Medicare rules on medical record amendments. One of the most important fac... Read more
Manage Signature Mishaps With This Handy Chart
Tip: Know Medicare's rules on providers' signatures. Before you submit your medical docum... Read more
Industry Notes:
CMS Updates QPP Library With New PY 2021 Resources
Tip: Find out if your specialty is covered in the latest guides. Whether you are feverish... Read more
Fraud & Abuse:
Feds Ratchet Up Enforcement on COVID Fraudsters
Tip: Keep track of your Provider Relief Funds and CAAPs. Over the last year, the neveren... Read more
Reimbursement:
Know the Pros and Cons on COVID Financial Relief
Stay on top of PPP deadlines and accelerated payment bill due dates. If the fallout from ... Read more
E/M Coding:
Master Observation Coding Mayhem With These Tips
Study Medicare minutiae on 8-hour stays. Medicare providers have had a lot to unpack over... Read more
Clip And Save:
Pocket This Handy HIPAA Security Rule Primer
Tip: Keep staff in the loop on HIPAA security. During the pandemic, there's been an uptic... Read more
Industry Notes:
HHS Revises Provider Relief Guidance … Again
Before you make any big decisions on your Provider Relief Fund (PRF) reporting, you may wa... Read more
Industry Notes:
CMS Puts CHART ACO Transformation Model on Hold Until 2022
Rural providers now have another year to decide if joining a CHART Model Accountable Care ... Read more
Industry Notes:
HRSA-Funded Health Centers Get Another Boost
In another move to help rural and underserved communities get vaccinated, the feds are inv... Read more
Reimbursement:
Bolster Your COVID-19 Checklist With 3 Updates
Tip: Stay on top of evolving Medicare policies. Though there is light at the end of the p... Read more
COVID-19 Policy:
Underserved Communities Get Extra COVID Therapy, Vaccine Help
See details on organizations and areas receiving assistance. Providers working in underse... Read more
Medicare Secondary Payer:
Quiz Yourself on 10 MSP Basics
Tip: Collect patients' data upfront to circumvent issues. When a beneficiary gives you a... Read more
HIPAA:
Gauge Your BAs HIPAA Know-How Before Hiring
Know what the Rules mean by ‘satisfactory assurances.' If you're a covered entity (CE),... Read more
Reader Questions:
Review Guidelines on MDM and Medication Management
Question: One of our providers advised a patient to continue taking a given medication at ... Read more
Industry Notes:
OIG Revamps COVID Guidance Offering
As pandemic conditions roll back across the country, the feds are ramping up their COVID-1... Read more
Industry Notes:
Senate Confirms New HHS Secretary
The Department of Health and Human Services (HHS) finally has a new leader at its helm. N... Read more
Industry Notes:
MIPS Annual Call for Measures Now Open
If you want to have a say in future measures planning, the Quality Payment Program (QPP) w... Read more
Reader Questions:
Ensure Patient Data Is Valid and Up to Date
Question: Our practice recently had a Medicare claim denied for invalid patient informatio... Read more
COVID-19 Relief:
Check Out These 5 Takeaways in Feds’ Latest Offering
See how the funding impacts Medicare providers. Though the healthcare industry isn't the ... Read more
Quality Payment Program:
Shatter QPP Myths With 5 Top Facts
See details on performance year 2020 bonus options. With everything on Medicare provide... Read more
Reimbursement:
Augment Medicare Pay With 10 Revenue- Boosting Tips
Tip: Differentiate your claims with the right ICD-10 codes. If COVID-19 has thrown a wre... Read more
Reader Question:
Keep Staff and Patient COVID-19 Vaccination Records Separate
Question: At our rural practice, most staff are also patients as we are the only healthcar... Read more
Industry Notes:
CMS Updates Nursing Home Visitation Guidance
With COVID-19 vaccination rates climbing, the Centers for Medicare & Medicaid Services... Read more
Industry Notes:
OCR Extends Comment Period on HIPAA Modifications
The feds added another 45 days to the comment period for a proposed major overhaul of the ... Read more
Enforcement:
Feds Ramp Up COVID-19-Related Enforcement
See what the audit hot spots are. If you've been following the HHS Office of Inspector G... Read more
Compliance:
Don’t Shirk on Compliance Planning
Tip: Manage and mitigate your risks accordingly. If your practice is struggling to stay ... Read more
Advance Beneficiary Notices:
Pocket This Primer on New ABN Forms
Tip: Use patient-friendly language when creating ABNs. Last year, the feds released an u... Read more
Ace ABNs With G-Modifier Mastery
One of the obstacles associated with submitting advance beneficiary notices (ABNs) to Medi... Read more
Reader Questions:
Review the Particulars on Billing Medicare for Hospice Care
Question: Medicare recently denied a service that our physician provided to a patient in h... Read more
Reader Questions:
Know the Difference Between EHR and EMR
Question: At our practice, we often use the terms EMR and EHR interchangeably, but our new... Read more
Industry Notes:
Winter Storm Triggers PHE Declaration for Texas
Plus: CMS reopens MIPS EUC application. As with past natural disasters and the COVID-19 p... Read more
Industry Notes:
In other news …
In an effort to help clinicians combatting COVID-19, the Centers for Medicare & Medica... Read more
COVID-19 Vaccinations:
PREP Act Change Aims to Bolster Vaccine Deployment
See details on the latest COVID-19-related amendment. The COVID-19 public health emergenc... Read more
Strategies:
Tackle COVID-19 Vaccination Administration With These Tools
Tip: Check specialty orgs for differentiated professional advice. Whether you're designin... Read more
Cybersecurity:
Don’t Slack on Compliance When Working From Home
Warning: Remote healthcare workers remain an easy target, the feds say. As COVID-19 rages... Read more
Here’s the Scoop on COVID-19 Vaccination Training
As part of the COVID-19 PHE declaration, the feds amended the PREP Act a fifth time. Whil... Read more
Reader Questions:
Know the Facts on MOON Notices
Question: We saw a patient for 24 hours in the emergency department (ED) and two days in o... Read more
Industry Notes:
Pocket New Medicare Advice on E/M Claims Review
If you were wondering whether the Centers for Medicare & Medicaid Services (CMS) would... Read more
Industry Notes:
HIPAA Notification Focuses on COVID-19 Vaccination Registration
If your practice is scrambling to assist patients with COVID-19 vaccination appointments v... Read more
Industry Notes:
Don’t Forget to Send in BLS Surveys on Medicare Pay
If you get a call or email from the U.S. Bureau of Labor Statistics (BLS) referencing your... Read more
Reader Questions:
Understand These Small Breach Reporting Basics
Question: Over the last year, we've had a few miniscule privacy breaches. Does our practic... Read more
Fraud and Abuse:
Recent Enforcement Actions Target Physicians
See what's on the DOJ's hitlist. Authorities pushed full-steam ahead in January despite a... Read more
Medicare Provider Enrollment:
Test Yourself on 4 Tricky Provider Enrollment Issues
Get the facts on Medicare enrollment appeals. Whether you're new to Medicare or have been... Read more
Provider Relief Funding:
Keep Up With the Latest Provider Relief Fund Reporting Changes
Expect more clarification and updates with the new administration. The feds decided to de... Read more
Telehealth Services:
Get the Scoop on 10 Telehealth Coding Facts From the Experts
Part B MAC reps offer provider tips with surprising and helpful insight. If you're conf... Read more
OIG Shines a Spotlight on Part B Telehealth Services
See the feds two-phase audit plan. Medicare providers now have another reason to bolster ... Read more
Compliance:
CERT: Documentation Issues Plague Providers
Plus: Data reveals Part B error rate increased for FY 2020. Though the feds show that the... Read more
Check Out These CERT Statistics
Here's a breakdown of the Medicare fee-for-service overall improper payment rate projectio... Read more
E/M Coding:
Heed These 7 Factors That Impact New E/M Rules
Add these expert tips to your coding wheelhouse. Even if you prepared significantly for ... Read more
HIPAA:
Keep Your Right of Access Policies on Track
Expect some changes under a new administration. Recent updates suggest patients' rights ... Read more
Reader Question:
Turnaround Time Matters for Medicare Overpayment Rebuttals
Question: Our practice just received a “demand letter” from our Medicare Administrati... Read more
Industry Notes:
COVID-19 PHE Gets a 4th Extension
Providers have another 90 days of regulatory relief. Departing HHS Secretary Alex Azar ex... Read more
Policy:
Feds End Year With COVID-19 Relief Bonanza
Hint: Changes impact 2021 MPFS payments. With COVID-19 numbers skyrocketing, the feds ha... Read more
Provider Relief Fund:
More Provider Relief Funding Is on the Way
‘Lost revenues' guidance remains confusing. With more COVID-19 relief coming soon, Me... Read more
Compliance:
Know the Facts on COVID-19 Vaccinations for Staff
Prepare for questions from both staff and patients. To protect both patients and staff, ... Read more
Reader Questions:
Revisit Guidelines Before Billing These Consultation Codes
Question: Our physicians offered consultation services to a patient who was in treatment w... Read more
Industry Notes:
Voluntary MIPS 2020 Submission Window Opens Soon
If you're shy of the low-volume threshold numbers to be part of the Merit-Based Incentive ... Read more
Industry Notes:
CMS Extends MIPS 2020 Uncontrollable Circumstances Application Deadline
If you are thinking of submitting a Merit-Based Incentive Payment System (MIPS) ap... Read more
Industry Notes:
FDA Updates Device Shortage List and FAQ
In an effort to be more transparent, the Food and Drug Administration (FDA) has updated it... Read more
Reader Questions:
Nix Pay Issues With Split/Shared Visit Insight
Question: Can qualified advanced practice providers (APPs) “split” a service with a ph... Read more
Available Years:  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006  2005  2004  2003