Medicare Compliance & Reimbursement
HIPAA Round-Up:
2022 Ends With a Flurry of HIPAA Policy Activity
Review updates and enforcement to ensure your start 2023 off right. Over the last year, t... Read more
2022 Ends With a Flurry of HIPAA Policy Activity
Review updates and enforcement to ensure your start 2023 off right. Over the last year, t... Read more
Health IT:
CMS Spotlights Interoperability in Latest Proposals
Proposed rule aims to make data sharing easier for all. The pandemic showed how the quick... Read more
CMS Spotlights Interoperability in Latest Proposals
Proposed rule aims to make data sharing easier for all. The pandemic showed how the quick... Read more
Part B Coding Coach:
E/M 2023: Boost Prolonged Service Know-How With This Primer
Hint: CMS and CPT® are still at odds over when to add extra time. The Centers for Medic... Read more
E/M 2023: Boost Prolonged Service Know-How With This Primer
Hint: CMS and CPT® are still at odds over when to add extra time. The Centers for Medic... Read more
Foil Prolonged Services Coding Conundrums With This Handy Chart
Tip: Don't forget about CY 2023 MPFS policies. If you're confused about which code to use... Read more
Tip: Don't forget about CY 2023 MPFS policies. If you're confused about which code to use... Read more
Reader Question:
Know the Facts on New Patients and Incident-To
Question: A new patient came in and the nurse practitioner (NP) took the initial hist... Read more
Know the Facts on New Patients and Incident-To
Question: A new patient came in and the nurse practitioner (NP) took the initial hist... Read more
Industry Notes:
Medical Organizations Urge Congress to Thwart 2023 CF Cuts ASAP
You're not the only one worried about the 4.5 percent decrease to the conversion factor (C... Read more
Medical Organizations Urge Congress to Thwart 2023 CF Cuts ASAP
You're not the only one worried about the 4.5 percent decrease to the conversion factor (C... Read more
Industry Notes:
Educate Your Billing Partners on Medicare Tools, Rules, and Processes
If you outsource your billing to other companies or agencies, you must ensure that your bu... Read more
Educate Your Billing Partners on Medicare Tools, Rules, and Processes
If you outsource your billing to other companies or agencies, you must ensure that your bu... Read more
Medicare Shared Savings Program:
CMS Pushes Forward With Value-Based Care Revamp
Expect more equity-centered policies going forward. The pandemic revealed that many of t... Read more
CMS Pushes Forward With Value-Based Care Revamp
Expect more equity-centered policies going forward. The pandemic revealed that many of t... Read more
Audits:
Pocket These Legal Tips to Protect Yourself Against UPIC Reviews
Don't ignore the nuances and complexities of UPIC audits. If the possibility of a Unifie... Read more
Pocket These Legal Tips to Protect Yourself Against UPIC Reviews
Don't ignore the nuances and complexities of UPIC audits. If the possibility of a Unifie... Read more
Part B Coding Coach:
Master Consultation Coding With This CPT® 2023 Primer
Make haste — Jan. 1 is right around the bend. If you're in preparation mode for next y... Read more
Master Consultation Coding With This CPT® 2023 Primer
Make haste — Jan. 1 is right around the bend. If you're in preparation mode for next y... Read more
Reader Question:
Know the Facts on HIPAA Authorization End Dates
Question: I've noticed that our patient forms pertaining to the HIPAA say they last f... Read more
Know the Facts on HIPAA Authorization End Dates
Question: I've noticed that our patient forms pertaining to the HIPAA say they last f... Read more
Industry Notes:
Prepare for Demand Recoupment of Final COVID CAAP Balances
If your practice received a COVID-19 Accelerated and Advance Payment (CAAP) from Medicare,... Read more
Prepare for Demand Recoupment of Final COVID CAAP Balances
If your practice received a COVID-19 Accelerated and Advance Payment (CAAP) from Medicare,... Read more
Industry Notes:
New Report Offers Guidance on Long COVID
Whether you're looking for information or want to add your experiences to the ongoing rese... Read more
New Report Offers Guidance on Long COVID
Whether you're looking for information or want to add your experiences to the ongoing rese... Read more
Industry Notes:
Joint Advisory Warns of Hive Ransomware Threat to Healthcare Sector
As 2022 winds down, another cyber threat looms — and this one seems especially dangerous... Read more
Joint Advisory Warns of Hive Ransomware Threat to Healthcare Sector
As 2022 winds down, another cyber threat looms — and this one seems especially dangerous... Read more
Medicare Physician Fee Schedule:
CMS Finalizes 4.5% Cut to CF in 2023 Fee Schedule
But: Industry insiders are already asking Congress to intervene. If you thought that CMS... Read more
CMS Finalizes 4.5% Cut to CF in 2023 Fee Schedule
But: Industry insiders are already asking Congress to intervene. If you thought that CMS... Read more
Reimbursement:
Find Out If Your Specialty Wins or Loses Under the CF Reduction
Plus: CMS holds up on using revised MEI cost weights in the 2023 ratesetting. With the c... Read more
Find Out If Your Specialty Wins or Loses Under the CF Reduction
Plus: CMS holds up on using revised MEI cost weights in the 2023 ratesetting. With the c... Read more
Policy:
Check Out 5 Key MPFS Changes for CY 2023
Get ready now for behavioral health, E/M, split/shared updates. There's no doubt the 4.5 ... Read more
Check Out 5 Key MPFS Changes for CY 2023
Get ready now for behavioral health, E/M, split/shared updates. There's no doubt the 4.5 ... Read more
COVID-19:
See the Latest on Staff Vaccination Survey Procedures
Caution: Stay on top of policy changes to ensure compliance. With COVID-19 and the subs... Read more
See the Latest on Staff Vaccination Survey Procedures
Caution: Stay on top of policy changes to ensure compliance. With COVID-19 and the subs... Read more
Reader Question:
Stay Abreast of TPE and Other Medical Review Updates
Question: How concerned should we be about medical record reviews by the Centers for ... Read more
Stay Abreast of TPE and Other Medical Review Updates
Question: How concerned should we be about medical record reviews by the Centers for ... Read more
Reader Questions:
Understand the Intersection of Family Medical History and HIPAA
Question: Does a patient's family medical history fall under information protected by... Read more
Understand the Intersection of Family Medical History and HIPAA
Question: Does a patient's family medical history fall under information protected by... Read more
Industry Notes:
Decide on Medicare Provider Participation By EOY
If you're not a Medicare participating (PAR) provider but are toying with the idea of enro... Read more
Decide on Medicare Provider Participation By EOY
If you're not a Medicare participating (PAR) provider but are toying with the idea of enro... Read more
Industry Notes:
HHS Offers CERT Relief After Natural Disasters
If your practice was impacted by one of the recent hurricanes, you have a little extra tim... Read more
HHS Offers CERT Relief After Natural Disasters
If your practice was impacted by one of the recent hurricanes, you have a little extra tim... Read more
ICD-10 Coding:
Boost Dx Coding With Sequencing Smarts
Caution: Lackluster sequencing can lead to claims denials. Diagnosis coding can be compli... Read more
Boost Dx Coding With Sequencing Smarts
Caution: Lackluster sequencing can lead to claims denials. Diagnosis coding can be compli... Read more
Fraud And Abuse:
DME, Genetic Testing Fraud Bring Big Enforcement Actions
Plus: Unnecessary therapy garners qui tam settlement. If you thought federal enforcers m... Read more
DME, Genetic Testing Fraud Bring Big Enforcement Actions
Plus: Unnecessary therapy garners qui tam settlement. If you thought federal enforcers m... Read more
HIPAA Toolkit:
Create an Incident Response Team With These Tips
Add incident response to your annual HIPAA risk assessment. Securing your patients' prot... Read more
Create an Incident Response Team With These Tips
Add incident response to your annual HIPAA risk assessment. Securing your patients' prot... Read more
Reader Question:
Figure Out Which CMS-855 Best Applies to Your Organization
Question: At our rural practice, we have one doctor, and she wants to enroll as a Med... Read more
Figure Out Which CMS-855 Best Applies to Your Organization
Question: At our rural practice, we have one doctor, and she wants to enroll as a Med... Read more
Reader Question:
Connect With MAC for Certain NCCI Quandaries
Question: Which agency is most appropriate to contact if I have questions about an ap... Read more
Connect With MAC for Certain NCCI Quandaries
Question: Which agency is most appropriate to contact if I have questions about an ap... Read more
Industry Note:
HHS Extends the PHE for an 11th Go-Round
With COVID variants on the rise, the feds extended the public health emergency (PHE) … a... Read more
HHS Extends the PHE for an 11th Go-Round
With COVID variants on the rise, the feds extended the public health emergency (PHE) … a... Read more
Industry Note:
Offer CMS Your Thoughts on a National Directory for Providers, Services
With consumers utilizing search engines more and more to find a clinician that provides th... Read more
Offer CMS Your Thoughts on a National Directory for Providers, Services
With consumers utilizing search engines more and more to find a clinician that provides th... Read more
Industry Note:
See the Latest Turnaround on Medical Device Coverage and Authorization
The Centers for Medicare & Medicaid Services (CMS) offered its thoughts on the future ... Read more
See the Latest Turnaround on Medical Device Coverage and Authorization
The Centers for Medicare & Medicaid Services (CMS) offered its thoughts on the future ... Read more
Healthcare Equity:
Register These 3 Important Updates
CMS offers several rural healthcare fixes in MPFS proposed rule. The pandemic revealed th... Read more
Register These 3 Important Updates
CMS offers several rural healthcare fixes in MPFS proposed rule. The pandemic revealed th... Read more
HIPAA:
Increase BAA Security With These 6 Steps
Tip: Ensure your business partners know how to respond to a breach. You may feel like you... Read more
Increase BAA Security With These 6 Steps
Tip: Ensure your business partners know how to respond to a breach. You may feel like you... Read more
Medicare Physician Fee Schedule:
Know the Facts on CY 2023 Split/Shared Billing Proposals
Find out why Medicare proposed the delay. If you're flummoxed about why Medicare proposed... Read more
Know the Facts on CY 2023 Split/Shared Billing Proposals
Find out why Medicare proposed the delay. If you're flummoxed about why Medicare proposed... Read more
Reader Question:
Know This Medicare Claims Filing Due Date
Question: We had a problem with a claim and didn't get it filed with Medicare until o... Read more
Know This Medicare Claims Filing Due Date
Question: We had a problem with a claim and didn't get it filed with Medicare until o... Read more
Industry Notes:
AIC Changes for 2023 Are a Mixed Bag
If you're filing an Administrative Law Judge (ALJ) request, expect one thing to remain sta... Read more
AIC Changes for 2023 Are a Mixed Bag
If you're filing an Administrative Law Judge (ALJ) request, expect one thing to remain sta... Read more
Industry Notes:
Get Ready for More Elder Fraud Strike Force Enforcement
You should expect changes ahead for the Justice Department's Transnational Elder Fraud Str... Read more
Get Ready for More Elder Fraud Strike Force Enforcement
You should expect changes ahead for the Justice Department's Transnational Elder Fraud Str... Read more
Industry Notes:
SCOTUS Nixes COVID Vax Mandate Appeal
The U.S. Supreme Court has weighed in again — and Medicare COVID-19 vaccination requirem... Read more
SCOTUS Nixes COVID Vax Mandate Appeal
The U.S. Supreme Court has weighed in again — and Medicare COVID-19 vaccination requirem... Read more
Industry Notes:
Virtual Group Election Window Now Open for MIPS 2023
If you're considering forming a virtual group and registering for the Merit-Based Incentiv... Read more
Virtual Group Election Window Now Open for MIPS 2023
If you're considering forming a virtual group and registering for the Merit-Based Incentiv... Read more
No Surprises Act:
Feds Offer Another NSA Update With Final Rule
The latest IDR changes provide clarity on the process. With a third rule in circulation,... Read more
Feds Offer Another NSA Update With Final Rule
The latest IDR changes provide clarity on the process. With a third rule in circulation,... Read more
HIPAA:
Ensure PHI Disposal Methods Are Compliant and Secure
Caution: Disregarding HIPAA rules can lead to violations. With cybersecurity concerns d... Read more
Ensure PHI Disposal Methods Are Compliant and Secure
Caution: Disregarding HIPAA rules can lead to violations. With cybersecurity concerns d... Read more
Compliance:
Circumvent PHI Disposal Violations With This Insight
Don't let your HIPAA snafus be fodder for the next news cycle, expert warns. You can cu... Read more
Circumvent PHI Disposal Violations With This Insight
Don't let your HIPAA snafus be fodder for the next news cycle, expert warns. You can cu... Read more
Clip and Save:
Add This Handy Checklist to Your Self-Audit Wheelhouse
Tip: Check to make sure the chart is signed and dated. Whether you code for a Part B pr... Read more
Add This Handy Checklist to Your Self-Audit Wheelhouse
Tip: Check to make sure the chart is signed and dated. Whether you code for a Part B pr... Read more
Reader Questions:
Know the Facts on Coding Common Colds
Question: With cold and flu season already ramping up, we are seeing a disordinate a... Read more
Know the Facts on Coding Common Colds
Question: With cold and flu season already ramping up, we are seeing a disordinate a... Read more
Reader Questions:
Heed This ICD-10-CM Coding Tip on Listing Conditions
Question: When preparing a claim, should you enter the diagnosis code only for the co... Read more
Heed This ICD-10-CM Coding Tip on Listing Conditions
Question: When preparing a claim, should you enter the diagnosis code only for the co... Read more
Industry Notes:
MAC Sees Uptick in ‘Scope of Practice’ Quandaries
If your practice is confused about whether a service is covered by Medicare for your prov... Read more
MAC Sees Uptick in ‘Scope of Practice’ Quandaries
If your practice is confused about whether a service is covered by Medicare for your prov... Read more
Industry Notes:
Master HIPAA Transactions With These CMS Tools
If the HIPAA Administrative Simplification provisions that impact your electronic transact... Read more
Master HIPAA Transactions With These CMS Tools
If the HIPAA Administrative Simplification provisions that impact your electronic transact... Read more
Industry Notes:
Bolster Post-Acute Quality Reporting for FY 2025 With New Tables
If you plan on participating in Medicare's Post-Acute Quality Reporting Program for fiscal... Read more
Bolster Post-Acute Quality Reporting for FY 2025 With New Tables
If you plan on participating in Medicare's Post-Acute Quality Reporting Program for fiscal... Read more
Industry Notes:
OIG Adds Hospital Price Transparency to Work Plan
Most hospitals are required to let their patients know the cost of items and services. The... Read more
OIG Adds Hospital Price Transparency to Work Plan
Most hospitals are required to let their patients know the cost of items and services. The... Read more
Telehealth Policy:
Bolster Telehealth Compliance With This Data
Hint: Feds remain fixated on policies and enforcement. If you're getting whiplash from a... Read more
Bolster Telehealth Compliance With This Data
Hint: Feds remain fixated on policies and enforcement. If you're getting whiplash from a... Read more
Study Finds Telehealth Expansion Knocked Down Barriers to OUD Care
But: Data also points out health inequities, too. New research finds that telehealth offe... Read more
But: Data also points out health inequities, too. New research finds that telehealth offe... Read more
Billing:
Fortify Medicare Part B Claims With This Handy Primer
Tip: Review the top error issues to circumvent denials. Successfully maneuvering the Me... Read more
Fortify Medicare Part B Claims With This Handy Primer
Tip: Review the top error issues to circumvent denials. Successfully maneuvering the Me... Read more
Reader Questions:
Understand Medicare’s Flu Season Parameters
Question: With COVID-19 cases trending upwards, we'd like to stave off the double wha... Read more
Understand Medicare’s Flu Season Parameters
Question: With COVID-19 cases trending upwards, we'd like to stave off the double wha... Read more
Reader Questions:
Know the 4 Different Parts of Medicare
Question: We are putting together training materials for our new office staff at our ... Read more
Know the 4 Different Parts of Medicare
Question: We are putting together training materials for our new office staff at our ... Read more
Industry Notes:
Reps Introduce Bill to Stave Off Medicare Payment Cuts
Industry orgs urge Congress to act. If you're concerned about your bottom line in 2023,... Read more
Reps Introduce Bill to Stave Off Medicare Payment Cuts
Industry orgs urge Congress to act. If you're concerned about your bottom line in 2023,... Read more
Documentation:
Bolster Clinical Notes With This Query Insight
Utilize query guidelines to help with coding choices. A patient's medical record is a le... Read more
Bolster Clinical Notes With This Query Insight
Utilize query guidelines to help with coding choices. A patient's medical record is a le... Read more
HIPAA Compliance:
Verify Your Vendor’s Compliance Background Up Front
Ask these 5 questions to gauge your vendors' HIPAA security knowledge. If you're in the m... Read more
Verify Your Vendor’s Compliance Background Up Front
Ask these 5 questions to gauge your vendors' HIPAA security knowledge. If you're in the m... Read more
Modifiers:
Pocket This Primer on Duplicate Claims
Tip: Cut down the chance of denials with repeat modifier smarts. If Medicare denials ar... Read more
Pocket This Primer on Duplicate Claims
Tip: Cut down the chance of denials with repeat modifier smarts. If Medicare denials ar... Read more
Reader Questions:
Understand the Rules on Extended Repayment Schedules
Question: Our practice made a significant billing error that resulted in a massive ov... Read more
Understand the Rules on Extended Repayment Schedules
Question: Our practice made a significant billing error that resulted in a massive ov... Read more
Reader Questions:
Review Right of Access Rules on Patient Record Requests
Question: One of our patients has a sizable balance and hasn't responded to requests ... Read more
Review Right of Access Rules on Patient Record Requests
Question: One of our patients has a sizable balance and hasn't responded to requests ... Read more
Industry Notes:
Request a MIPS 2021 Targeted Review ASAP
If your MIPS data, final score, or payment adjustment for the 2021 performance year doesn'... Read more
Request a MIPS 2021 Targeted Review ASAP
If your MIPS data, final score, or payment adjustment for the 2021 performance year doesn'... Read more
Industry Notes:
Get Up to Speed on Provider Enrollment
With so many administrative regs put on the back burner during the pandemic, you may have ... Read more
Get Up to Speed on Provider Enrollment
With so many administrative regs put on the back burner during the pandemic, you may have ... Read more
Industry Notes:
Submit CERT 2022 Redetermination ASAP
As the 2022 reporting year for the Comprehensive Error Rate Testing (CERT) program comes t... Read more
Submit CERT 2022 Redetermination ASAP
As the 2022 reporting year for the Comprehensive Error Rate Testing (CERT) program comes t... Read more
Industry Notes:
DME Suppliers Get a Break on CMN Burden
Are you annoyed by Medicare's laundry list of administrative burdens? If the answer is yes... Read more
DME Suppliers Get a Break on CMN Burden
Are you annoyed by Medicare's laundry list of administrative burdens? If the answer is yes... Read more
Quality Payment Program:
CMS Aims for ‘Continuity’ in 2023 MIPS Proposals
Expect a slow rollout on MVPs. Due to a sweeping overhaul of the Merit-Based Incentive Pa... Read more
CMS Aims for ‘Continuity’ in 2023 MIPS Proposals
Expect a slow rollout on MVPs. Due to a sweeping overhaul of the Merit-Based Incentive Pa... Read more
E/M Coding:
CPT® 2023: Get the Scoop on Descriptors for ED E/M Services
Plus: See new rules for 99281-99285. If you utilize emergency department (ED) E/M codes i... Read more
CPT® 2023: Get the Scoop on Descriptors for ED E/M Services
Plus: See new rules for 99281-99285. If you utilize emergency department (ED) E/M codes i... Read more
Clip And Save:
Bolster Your Cyber Dictionary With 10 Critical Terms
Know what KRACK stands for. One of the byproducts of the pandemic has been an increase in... Read more
Bolster Your Cyber Dictionary With 10 Critical Terms
Know what KRACK stands for. One of the byproducts of the pandemic has been an increase in... Read more
Reader Questions:
Conquer Shared Service Billing Rules With This Advice
Question: The physician and the nurse practitioner (NP) both saw a patient during a... Read more
Conquer Shared Service Billing Rules With This Advice
Question: The physician and the nurse practitioner (NP) both saw a patient during a... Read more
Industry Notes:
Know These MAC Facts on Accelerated Payment Recoupment
If you intend to submit a debt dispute over COVID-19 Accelerated and Advance Payment (CAAP... Read more
Know These MAC Facts on Accelerated Payment Recoupment
If you intend to submit a debt dispute over COVID-19 Accelerated and Advance Payment (CAAP... Read more
Industry Notes:
HHS Extends the PHE for a 10th Go-Round
With COVID numbers trending upwards again, it shouldn't come as a shocker that the Departm... Read more
HHS Extends the PHE for a 10th Go-Round
With COVID numbers trending upwards again, it shouldn't come as a shocker that the Departm... Read more
Industry Notes:
Expect More Right of Access Scrutiny, Recent Cases Suggest
If your patients ask for a copy of their medical files, you don't want to drag your feet o... Read more
Expect More Right of Access Scrutiny, Recent Cases Suggest
If your patients ask for a copy of their medical files, you don't want to drag your feet o... Read more
Medicare Shared Savings Program:
CMS Proposes a MSSP Revamp for CY 2023
Get ready for ACOs to become front and center next year. You may have noticed that COVID... Read more
CMS Proposes a MSSP Revamp for CY 2023
Get ready for ACOs to become front and center next year. You may have noticed that COVID... Read more
Fraud & Abuse:
Federal Enforcers Fixate on Clinical Labs
Ensure your lab claims are medically necessary — or pay the price. Your practice likel... Read more
Federal Enforcers Fixate on Clinical Labs
Ensure your lab claims are medically necessary — or pay the price. Your practice likel... Read more
ICD-10 Coding:
Prepare Now for New SDoH Codes Starting Oct. 1
Plus: Check out SDoH and noncompliance code revisions, too. The Centers for Medicare &... Read more
Prepare Now for New SDoH Codes Starting Oct. 1
Plus: Check out SDoH and noncompliance code revisions, too. The Centers for Medicare &... Read more
Reader Questions:
Pocket This Advice on How to Properly Dispose of PHI
Question: We have some student helpers working at our practice this summer. We were g... Read more
Pocket This Advice on How to Properly Dispose of PHI
Question: We have some student helpers working at our practice this summer. We were g... Read more
Reader Questions:
Utilize Free Medicare Billing Advice
Question: Our primary care practice has seen an uptick in denials of our Part B claim... Read more
Utilize Free Medicare Billing Advice
Question: Our primary care practice has seen an uptick in denials of our Part B claim... Read more
Medicare Physician Fee Schedule:
Feds Propose to Decrease the Conversion Factor in 2023
Don't expect another 3% boost for next year. With COVID still causing trouble and practi... Read more
Feds Propose to Decrease the Conversion Factor in 2023
Don't expect another 3% boost for next year. With COVID still causing trouble and practi... Read more
Policy:
Add These 4 MPFS Proposals to Your Watch List
Telehealth, ‘Other E/M Services,' quality initiatives factor into latest rule. If you... Read more
Add These 4 MPFS Proposals to Your Watch List
Telehealth, ‘Other E/M Services,' quality initiatives factor into latest rule. If you... Read more
Reimbursement:
Bolster Incident-To Coding With Care Plan
Review the Medicare billing rules to ensure claims success. You may think you understan... Read more
Bolster Incident-To Coding With Care Plan
Review the Medicare billing rules to ensure claims success. You may think you understan... Read more
HIPAA:
Design Your Own HIPAA Breach Notification Letter with this Template
Tip: No matter the breach size, you must let patients know. If a data breach occurs at yo... Read more
Design Your Own HIPAA Breach Notification Letter with this Template
Tip: No matter the breach size, you must let patients know. If a data breach occurs at yo... Read more
Industry Notes:
QPP First Snapshots of 2022 Are Up for Perusal
See if your stats meet the eligibility requirements. If you want to check your APM statu... Read more
QPP First Snapshots of 2022 Are Up for Perusal
See if your stats meet the eligibility requirements. If you want to check your APM statu... Read more
Covid-19 Round-Up:
Maximize Your COVID Resources With These Timely Updates
Tip: Check with your MAC on PHE-related policies. As the pandemic stretches on and cases... Read more
Maximize Your COVID Resources With These Timely Updates
Tip: Check with your MAC on PHE-related policies. As the pandemic stretches on and cases... Read more
Cybersecurity Quiz:
Test Yourself on These 10 Phishing-Related Essentials
Tip: Know the difference between a trojan horse and honeypot. Whether your employees are... Read more
Test Yourself on These 10 Phishing-Related Essentials
Tip: Know the difference between a trojan horse and honeypot. Whether your employees are... Read more
Policy:
Bolster Routine Foot Care Policies With These Medicare Facts
CMS' rules as other payers often follow suit. Aging beneficiaries may frequent your prac... Read more
Bolster Routine Foot Care Policies With These Medicare Facts
CMS' rules as other payers often follow suit. Aging beneficiaries may frequent your prac... Read more
Reader Questions:
Know These Facts on Addressing Part C Grievances
Question: One of the providers in our Medicare Advantage (MA) plan received a grievan... Read more
Know These Facts on Addressing Part C Grievances
Question: One of the providers in our Medicare Advantage (MA) plan received a grievan... Read more
Reader Questions:
Append This Modifier for Repeat Pap Smears
Question: A high-risk Medicare patient came in for her annual wellness visit at our o... Read more
Append This Modifier for Repeat Pap Smears
Question: A high-risk Medicare patient came in for her annual wellness visit at our o... Read more
Industry Notes:
Get the Scoop on ICD-10 2023
The World Health Organization (WHO) has released its list of ICD-10 additions, deletions, ... Read more
Get the Scoop on ICD-10 2023
The World Health Organization (WHO) has released its list of ICD-10 additions, deletions, ... Read more
Industry Notes:
15 Texas Physicians Settle Health Fraud Trifecta With Feds
A Justice Department investigation led to a massive $2.8 million settlement for 15 Texas d... Read more
15 Texas Physicians Settle Health Fraud Trifecta With Feds
A Justice Department investigation led to a massive $2.8 million settlement for 15 Texas d... Read more
Industry Notes:
MIPS 2021 Final Scores Are Up and Ready for Preview
If you've been waiting to see your Merit-Based Incentive Payment System (MIPS) fin... Read more
MIPS 2021 Final Scores Are Up and Ready for Preview
If you've been waiting to see your Merit-Based Incentive Payment System (MIPS) fin... Read more
Enforcement:
Feds Double Down Scrutiny of COVID Fraud
Plus: See the biggest Medicare fraud cases. If you thought healthcare fraud enforcers pr... Read more
Feds Double Down Scrutiny of COVID Fraud
Plus: See the biggest Medicare fraud cases. If you thought healthcare fraud enforcers pr... Read more
Policy:
Recent Policymaking Prioritizes Patient Safety, Equity
Expect these critical issues to infuse federal healthcare policies for years to come. Th... Read more
Recent Policymaking Prioritizes Patient Safety, Equity
Expect these critical issues to infuse federal healthcare policies for years to come. Th... Read more
Documentation:
Utilize This Insight to Boost EHR Accuracy
Crosscheck NCQA examples and guidance, too. Not only is technology an important factor in... Read more
Utilize This Insight to Boost EHR Accuracy
Crosscheck NCQA examples and guidance, too. Not only is technology an important factor in... Read more
Reader Questions:
Know the Facts on Medicare and Medical Records Reviews
Question: Since the COVID-19 public health emergency (PHE) is still ongoing, and man... Read more
Know the Facts on Medicare and Medical Records Reviews
Question: Since the COVID-19 public health emergency (PHE) is still ongoing, and man... Read more
Reader Questions:
Pocket This HIPAA Complaint Overview
Question: Our practice does a pretty good job of following the HIPAA Rules, and we'v... Read more
Pocket This HIPAA Complaint Overview
Question: Our practice does a pretty good job of following the HIPAA Rules, and we'v... Read more
Industry Notes:
Get Ready for the 2% Sequestration Reinstatement on July 1
If you thought that the Centers for Medicare & Medicaid Services (CMS) would nix its p... Read more
Get Ready for the 2% Sequestration Reinstatement on July 1
If you thought that the Centers for Medicare & Medicaid Services (CMS) would nix its p... Read more
Industry Notes:
Know This Latest PECOS Update
Navigating through PECOS will take you a little bit longer after Independence Day. “S... Read more
Know This Latest PECOS Update
Navigating through PECOS will take you a little bit longer after Independence Day. “S... Read more
Policy:
CMS Ratchets Up MA, Part D Oversight in 2023 Rule
Get ready for plan requirements to increase, too. The pandemic revealed a plethora of hea... Read more
CMS Ratchets Up MA, Part D Oversight in 2023 Rule
Get ready for plan requirements to increase, too. The pandemic revealed a plethora of hea... Read more
Compliance:
OIG Reveals MA Care Denial Issues in New Report
Warning: MA plans are now under OIG's watchful eye. Whether you're new to Medicare Advant... Read more
OIG Reveals MA Care Denial Issues in New Report
Warning: MA plans are now under OIG's watchful eye. Whether you're new to Medicare Advant... Read more
Covid-19 & Telehealth Services:
Refresh Your PHE and Telehealth Policies With This Primer
Know the various modifiers and when to append them. With COVID-19 numbers trending upward... Read more
Refresh Your PHE and Telehealth Policies With This Primer
Know the various modifiers and when to append them. With COVID-19 numbers trending upward... Read more
Toolkit:
Master Hospital Claims With This Handy Acronym
Utilize this mnemonic device to boost claims success. Coding inpatient care claims can b... Read more
Master Hospital Claims With This Handy Acronym
Utilize this mnemonic device to boost claims success. Coding inpatient care claims can b... Read more
Industry News:
Register This PRF Reporting Period 2 Deadline Update
Review other upcoming dates and requirements on the HRSA portal. If you‘ve experienced ... Read more
Register This PRF Reporting Period 2 Deadline Update
Review other upcoming dates and requirements on the HRSA portal. If you‘ve experienced ... Read more
Compliance:
Feds Bolster Telehealth With Free Smartphone Program
Warning: Be aware of restrictions and rules to avoid OIG censure. If you need to connect ... Read more
Feds Bolster Telehealth With Free Smartphone Program
Warning: Be aware of restrictions and rules to avoid OIG censure. If you need to connect ... Read more
Quiz:
Test Your ACP Knowledge With 4 Tough Questions
Hint: Check documentation rules before submitting claims. If you care for Medicare benefi... Read more
Test Your ACP Knowledge With 4 Tough Questions
Hint: Check documentation rules before submitting claims. If you care for Medicare benefi... Read more
E/M Coding:
Boost Nurse Visit Coding With This 99211 Tips
Tip: Documentation is key. When employed properly, 99211 can allow certain qualified pro... Read more
Boost Nurse Visit Coding With This 99211 Tips
Tip: Documentation is key. When employed properly, 99211 can allow certain qualified pro... Read more
Clip And Save:
Supplement Your MIPS Savvy With These 5 Must-Know Terms
Tip: Review QPP updates as terminologies and policies evolve. Whether you've been submi... Read more
Supplement Your MIPS Savvy With These 5 Must-Know Terms
Tip: Review QPP updates as terminologies and policies evolve. Whether you've been submi... Read more
Quiz Answers:
Measure Your ACP Smarts Against These Answers
Caution: Revisit the incident-to rules before billing ACP services to Medicare. After y... Read more
Measure Your ACP Smarts Against These Answers
Caution: Revisit the incident-to rules before billing ACP services to Medicare. After y... Read more
Reader Questions:
Know the Facts on Listing Beneficiaries’ Conditions
Question: We find the Medicare billing process a bit confusing and aren't sure what t... Read more
Know the Facts on Listing Beneficiaries’ Conditions
Question: We find the Medicare billing process a bit confusing and aren't sure what t... Read more
Reader Questions:
Augment Your Cybersecurity With These Helpful Resources
Question: At our practice, we take HIPAA compliance very seriously. In fact, we regul... Read more
Augment Your Cybersecurity With These Helpful Resources
Question: At our practice, we take HIPAA compliance very seriously. In fact, we regul... Read more
No Surprises Act:
Feds Modify NSA Guidance Post-Lawsuit
Plus: CMS releases two new FAQs. The feds continue to tweak their balance billing referen... Read more
Feds Modify NSA Guidance Post-Lawsuit
Plus: CMS releases two new FAQs. The feds continue to tweak their balance billing referen... Read more
CERT:
Pocket This Breakdown on the CERT Review Process
Understand how data is used to improve the Medicare FFS program. Statistics garnered fro... Read more
Pocket This Breakdown on the CERT Review Process
Understand how data is used to improve the Medicare FFS program. Statistics garnered fro... Read more
Modifiers:
Bolster Repeat Procedure Coding With This Expert Insight
Plus: Modifiers will help you code for repeat testing, too. Occasionally, it's necessary ... Read more
Bolster Repeat Procedure Coding With This Expert Insight
Plus: Modifiers will help you code for repeat testing, too. Occasionally, it's necessary ... Read more
Reader Question:
Factor HIPAA Into Your Practice Marketing Policies
Question: Our small practice often sends out annual reminders to our patients about t... Read more
Factor HIPAA Into Your Practice Marketing Policies
Question: Our small practice often sends out annual reminders to our patients about t... Read more
Industry Notes:
CMS Updates Cost Category for MIPS 2021
The Centers for Medicare & Medicaid Services (CMS) intends to reweight the cost catego... Read more
CMS Updates Cost Category for MIPS 2021
The Centers for Medicare & Medicaid Services (CMS) intends to reweight the cost catego... Read more
Industry Notes:
Feds Issue RFI on HIPAA and HITECH Policies
The HHS Office for Civil Rights (OCR) wants to know what you think about two critical prov... Read more
Feds Issue RFI on HIPAA and HITECH Policies
The HHS Office for Civil Rights (OCR) wants to know what you think about two critical prov... Read more
Industry Notes:
PHE Is Extended for a Ninth Time
HHS Secretary Xavier Becerra signed a ninth extension of the COVID-19 public health emerge... Read more
PHE Is Extended for a Ninth Time
HHS Secretary Xavier Becerra signed a ninth extension of the COVID-19 public health emerge... Read more
COVID-19 Round-Up:
Put These 3 Updates on Your COVID Checklist
Watch out: Deadlines for PRF reporting are fast approaching. As the pandemic ebbs and flo... Read more
Put These 3 Updates on Your COVID Checklist
Watch out: Deadlines for PRF reporting are fast approaching. As the pandemic ebbs and flo... Read more
Principal Care Management:
Boost PCM Smarts With This Handy Primer
Ensure PCM billing compliance with a thorough knowledge of current CPT® guidelines. Whet... Read more
Boost PCM Smarts With This Handy Primer
Ensure PCM billing compliance with a thorough knowledge of current CPT® guidelines. Whet... Read more
Risk Adjustment:
Find Out the Facts on Risk Adjustment
Understand how more patient diagnoses increase the cumulative risks. Risk adjustment can ... Read more
Find Out the Facts on Risk Adjustment
Understand how more patient diagnoses increase the cumulative risks. Risk adjustment can ... Read more
Foster Compliance With These 4 Risk Adjustment Steps
Know which provider types fall into the ‘acceptable' category. If you're interested in ... Read more
Know which provider types fall into the ‘acceptable' category. If you're interested in ... Read more
Industry Notes:
Open Payments Data Is Available for Perusal
If you fall into the Covered Recipients' category of the Centers for Medicare & Medica... Read more
Open Payments Data Is Available for Perusal
If you fall into the Covered Recipients' category of the Centers for Medicare & Medica... Read more
Industry Notes:
FDA Issues Warning on Misbranded Drugs, Products
The U.S. Food and Drug Administration (FDA) continues to be vigilant about calling out com... Read more
FDA Issues Warning on Misbranded Drugs, Products
The U.S. Food and Drug Administration (FDA) continues to be vigilant about calling out com... Read more
Industry Notes:
Feds Name New COVID Response Coordinator
The White House named Ashish Jha, MD, as the new COVID-19 Response Coordinator on March 17... Read more
Feds Name New COVID Response Coordinator
The White House named Ashish Jha, MD, as the new COVID-19 Response Coordinator on March 17... Read more
Telehealth Policy:
Omnibus Bill Extends Medicare Coverage of Telehealth Past PHE End
Know the specifics and understand that the extension is not forever. If your practice has... Read more
Omnibus Bill Extends Medicare Coverage of Telehealth Past PHE End
Know the specifics and understand that the extension is not forever. If your practice has... Read more
Medicare Part B Billing:
Master Medicare Coding and Billing With These Dos and Don’ts
Hint: Understand what MAC reps can (and can't) do. With the COVID-19 public health emerg... Read more
Master Medicare Coding and Billing With These Dos and Don’ts
Hint: Understand what MAC reps can (and can't) do. With the COVID-19 public health emerg... Read more
Quiz:
Check Your ADR Knowledge on These Critical Questions
Hint: Know there's more than one way to submit documentation. The Medicare carriers were... Read more
Check Your ADR Knowledge on These Critical Questions
Hint: Know there's more than one way to submit documentation. The Medicare carriers were... Read more
Reader Questions:
Use This Insight to Pick the Correct Inpatient Codes
Question: We are revisiting our coding policies and wondered about choosing the right... Read more
Use This Insight to Pick the Correct Inpatient Codes
Question: We are revisiting our coding policies and wondered about choosing the right... Read more
Reader Questions:
Know the Facts on Date of Injury Requirements
Question: Our claim scrubber is kicking out claims for removing foreign bodies from e... Read more
Know the Facts on Date of Injury Requirements
Question: Our claim scrubber is kicking out claims for removing foreign bodies from e... Read more
Reader Questions:
Get the Scoop on Listing Patient Conditions on Claims
Question: We are a little confused about what to include on our claims pertaining to ... Read more
Get the Scoop on Listing Patient Conditions on Claims
Question: We are a little confused about what to include on our claims pertaining to ... Read more
Industry Notes:
Check 2020 QPP Data on Care Compare
If you need to review your Quality Payment Program (QPP) information for the 2020 performa... Read more
Check 2020 QPP Data on Care Compare
If you need to review your Quality Payment Program (QPP) information for the 2020 performa... Read more
Industry Notes:
More PRF Payments Are on the Horizon, HHS Announces
If you've been waiting for another update on Provider Relief Fund (PRF) payments, the feds... Read more
More PRF Payments Are on the Horizon, HHS Announces
If you've been waiting for another update on Provider Relief Fund (PRF) payments, the feds... Read more
Industry Notes:
Feds Push for a 3rd COVID Booster for Patients Over 50
If your Medicare beneficiaries are calling about extra COVID shots, the feds are authorizi... Read more
Feds Push for a 3rd COVID Booster for Patients Over 50
If your Medicare beneficiaries are calling about extra COVID shots, the feds are authorizi... Read more
Industry Notes:
Bolster IT Policies With PHE Insight From the Feds
Emergency preparedness continues to be a hot topic in the health IT industry, particularly... Read more
Bolster IT Policies With PHE Insight From the Feds
Emergency preparedness continues to be a hot topic in the health IT industry, particularly... Read more
Fraud & Abuse:
Feds Focus on Physicians in March Enforcement
Warning: Several settlements include million-dollar fines — and prison time. If you th... Read more
Feds Focus on Physicians in March Enforcement
Warning: Several settlements include million-dollar fines — and prison time. If you th... Read more
Policy:
Understand This Medicare Update on Locum Tenens
Reminder: Don't forget about the NPI nuances when billing. With warmer weather on the hor... Read more
Understand This Medicare Update on Locum Tenens
Reminder: Don't forget about the NPI nuances when billing. With warmer weather on the hor... Read more
HIPAA:
Don’t Put Cybersecurity on the Back Burner in 2022
Utilize these free tools from the feds to boost your cyber health. The pandemic magnifie... Read more
Don’t Put Cybersecurity on the Back Burner in 2022
Utilize these free tools from the feds to boost your cyber health. The pandemic magnifie... Read more
Clip And Save:
Add These 2 Resources to Your QPP Wheelhouse
CMS offers new help to small practices. With the pandemic still impacting policy reforms,... Read more
Add These 2 Resources to Your QPP Wheelhouse
CMS offers new help to small practices. With the pandemic still impacting policy reforms,... Read more
Reader Question:
Know These VA and Medicare Nuances
Question: One of our patient's was originally covered by Medicare, but his main heal... Read more
Know These VA and Medicare Nuances
Question: One of our patient's was originally covered by Medicare, but his main heal... Read more
Industry Notes:
OIG Begins Investigating Nursing Home COVID Vaccination Compliance
During the pandemic, long-term care facilities struggled to care for the nation's most vul... Read more
OIG Begins Investigating Nursing Home COVID Vaccination Compliance
During the pandemic, long-term care facilities struggled to care for the nation's most vul... Read more
Industry Notes:
OSHA Plans ‘Focused Inspections’ of Hospitals’ and SNFs’ COVID Protocols
The Department of Labor (DOL) wants to protect healthcare workers and get ahead of the nex... Read more
OSHA Plans ‘Focused Inspections’ of Hospitals’ and SNFs’ COVID Protocols
The Department of Labor (DOL) wants to protect healthcare workers and get ahead of the nex... Read more
Industry Notes:
HHS Pushes SUNSET Rule Implementation to Fall 2022
The Department of Health and Human Services (HHS) has opted to push back the SUNSET regul... Read more
HHS Pushes SUNSET Rule Implementation to Fall 2022
The Department of Health and Human Services (HHS) has opted to push back the SUNSET regul... Read more
Industry Notes:
OIG Finally Get a New Leader
After years of being stuck in limbo, Christi Grimm has been sworn in as the Inspector Gene... Read more
OIG Finally Get a New Leader
After years of being stuck in limbo, Christi Grimm has been sworn in as the Inspector Gene... Read more
Balance Billing:
CMS Updates CAA Data With No Surprises Act Enforcement Letters
Review your state's letter — and specific state regulations. As the feds continue to ro... Read more
CMS Updates CAA Data With No Surprises Act Enforcement Letters
Review your state's letter — and specific state regulations. As the feds continue to ro... Read more
Compliance:
Fend Off Chart Blunders With Stellar Documentation
Ensure notes prove medical necessity to thwart MAC ire. If you utilize certain unique c... Read more
Fend Off Chart Blunders With Stellar Documentation
Ensure notes prove medical necessity to thwart MAC ire. If you utilize certain unique c... Read more
Quiz:
Test Your Knowledge of These Fraud & Abuse Basics
Find out where you stand on these regulations. To avoid federal scrutiny and the watchfu... Read more
Test Your Knowledge of These Fraud & Abuse Basics
Find out where you stand on these regulations. To avoid federal scrutiny and the watchfu... Read more
Healthcare Tops 2021 FCA Settlement Numbers
Not that you need another reason to promote False Claims Act (FCA) compliance, but last ye... Read more
Not that you need another reason to promote False Claims Act (FCA) compliance, but last ye... Read more
Reader Questions:
Understand the Nuances Between HIPAA and State-Mandated Privacy Disclosures
Question: Is it a violation of the HIPAA Privacy Rule if we comply with our state's d... Read more
Understand the Nuances Between HIPAA and State-Mandated Privacy Disclosures
Question: Is it a violation of the HIPAA Privacy Rule if we comply with our state's d... Read more
Reader Questions:
Pocket These Global Day Facts
Question: We often need to know the global days of a procedure to help us determine c... Read more
Pocket These Global Day Facts
Question: We often need to know the global days of a procedure to help us determine c... Read more
Reader Questions:
Know These MUE Appeals Options
Question: We've been hit with a few Part B denials due to medically unlikely edit (MU... Read more
Know These MUE Appeals Options
Question: We've been hit with a few Part B denials due to medically unlikely edit (MU... Read more
Industry Notes:
Boost Medicare Claims Success With Helpful Compliance Data
If you're confused by the HIPAA Simplification rules and how they apply to electronic heal... Read more
Boost Medicare Claims Success With Helpful Compliance Data
If you're confused by the HIPAA Simplification rules and how they apply to electronic heal... Read more
Industry Notes:
HHS Taps Past FDA Commissioner to Head Agency Again
The U.S. Food and Drug Administration (FDA) has been critical to the success of the COVID-... Read more
HHS Taps Past FDA Commissioner to Head Agency Again
The U.S. Food and Drug Administration (FDA) has been critical to the success of the COVID-... Read more
Industry Notes:
CMS Updates MVP Resource Offerings
If you want to get a head start and acclimate yourself with the Merit-based Incentive Paym... Read more
CMS Updates MVP Resource Offerings
If you want to get a head start and acclimate yourself with the Merit-based Incentive Paym... Read more
Medicare Advantage & Part D Policy:
Feds Propose Minor MA and Part D Revisions for 2023
CMS wants to know what you think about the suggested changes. The latest Medicare Advant... Read more
Feds Propose Minor MA and Part D Revisions for 2023
CMS wants to know what you think about the suggested changes. The latest Medicare Advant... Read more
CMS Issues Advance Notice on 2023 MA and Part D Payment Policies
Weigh in before the deadline on March 4. If you want to offer the Centers for Medicare &a... Read more
Weigh in before the deadline on March 4. If you want to offer the Centers for Medicare &a... Read more
Fraud And Abuse:
Enforcement Ramps Up Against COVID Fraudsters
Expect PRF violations to remain under the OIG microscope through 2022. The Department of ... Read more
Enforcement Ramps Up Against COVID Fraudsters
Expect PRF violations to remain under the OIG microscope through 2022. The Department of ... Read more
Clip And Save:
Bolster HIPAA Compliance Planning With This Helpful Survey
Reminder: Document your risks and how you intend to manage them. Whether your practice ha... Read more
Bolster HIPAA Compliance Planning With This Helpful Survey
Reminder: Document your risks and how you intend to manage them. Whether your practice ha... Read more
Reader Question:
Know This Important Fact on MUEs
Question: We mostly see Medicare Part B beneficiaries at our practice and understand ... Read more
Know This Important Fact on MUEs
Question: We mostly see Medicare Part B beneficiaries at our practice and understand ... Read more
Industry Notes:
CMS Warns Providers About COVID Vax Requirements … Again
If you expected the Centers for Medicare & Medicaid Services (CMS) to offer providers ... Read more
CMS Warns Providers About COVID Vax Requirements … Again
If you expected the Centers for Medicare & Medicaid Services (CMS) to offer providers ... Read more
Industry Notes:
Nursing Home COVID Booster Data Will Now Be on Care Compare
With nursing facilities among the hardest hit by the pandemic, the Centers for Medicare &a... Read more
Nursing Home COVID Booster Data Will Now Be on Care Compare
With nursing facilities among the hardest hit by the pandemic, the Centers for Medicare &a... Read more
Industry Notes:
PY 2022 MIPS Measures Tool Is Now Available for Perusal
If you've yet to review the performance year (PY) 2022 Merit-Based Incentive Payment Syste... Read more
PY 2022 MIPS Measures Tool Is Now Available for Perusal
If you've yet to review the performance year (PY) 2022 Merit-Based Incentive Payment Syste... Read more
Covid-19 Round-Up:
Pocket the Latest Round of COVID Updates
Find out the scoop on PRF payments and reporting, codes, and policies. If your practice i... Read more
Pocket the Latest Round of COVID Updates
Find out the scoop on PRF payments and reporting, codes, and policies. If your practice i... Read more
CMS Offers New Vaccination Guidance to Texas
Check out the latest mandate guidance. If your facility operates in Texas — and it's Me... Read more
Check out the latest mandate guidance. If your facility operates in Texas — and it's Me... Read more
Enforcement:
Get Ready for More Telehealth Services Scrutiny
Warning: Expect OIG to target care performed during the PHE. During the height of the pa... Read more
Get Ready for More Telehealth Services Scrutiny
Warning: Expect OIG to target care performed during the PHE. During the height of the pa... Read more
Reader Question:
Bolster Medicare Understanding With Acronym Smarts
Question: Some of our recently-hired staff are struggling to keep up with the steady strea... Read more
Bolster Medicare Understanding With Acronym Smarts
Question: Some of our recently-hired staff are struggling to keep up with the steady strea... Read more
Industry Notes:
Feds Look at Hospitals’ PRF Payments Over Balance Billing Concerns
Hospitals that received CARES Act Provider Relief Fund (PRF) payments were required to fol... Read more
Feds Look at Hospitals’ PRF Payments Over Balance Billing Concerns
Hospitals that received CARES Act Provider Relief Fund (PRF) payments were required to fol... Read more
Industry Notes:
Don’t Forget to Check Benes’ 2022 Insurance for Changes
There are annual updates to Medicare coverage for beneficiaries, and it's critical that yo... Read more
Don’t Forget to Check Benes’ 2022 Insurance for Changes
There are annual updates to Medicare coverage for beneficiaries, and it's critical that yo... Read more
COVID-19:
CMS COVID Vaccination Rule Upheld By SCOTUS
Get your ducks in a row before enforcement begins. If you've been waiting for the U.S. S... Read more
CMS COVID Vaccination Rule Upheld By SCOTUS
Get your ducks in a row before enforcement begins. If you've been waiting for the U.S. S... Read more
SCOTUS Stays OSHA ETS Enforcement
Caution: Other OSHA regulations are still in effect. While the U.S. Supreme Court opted t... Read more
Caution: Other OSHA regulations are still in effect. While the U.S. Supreme Court opted t... Read more
Incident-To Coding:
Master Incident-To Coding Rules With 10 Helpful Tips
Know what ‘immediately available' means to Medicare. Even the most seasoned coders fi... Read more
Master Incident-To Coding Rules With 10 Helpful Tips
Know what ‘immediately available' means to Medicare. Even the most seasoned coders fi... Read more
Quality Payment Program:
Add These 5 QPP Dates to Your 2022 Calendar
Now: Give CMS your opinion on future policymaking. With much of Medicare's focus on COV... Read more
Add These 5 QPP Dates to Your 2022 Calendar
Now: Give CMS your opinion on future policymaking. With much of Medicare's focus on COV... Read more
Reimbursement:
Feds Offer FFS Providers a Reprieve With 3% Increase to the 2022 CF
Plus: See the latest on PAYGO and Medicare sequestration cuts. Healthcare organizations ... Read more
Feds Offer FFS Providers a Reprieve With 3% Increase to the 2022 CF
Plus: See the latest on PAYGO and Medicare sequestration cuts. Healthcare organizations ... Read more
Covid-19:
CMS Issues New Vaccination Mandate Deadlines
Don't delay as staff must have their first doses by Jan. 27. If your organization is in o... Read more
CMS Issues New Vaccination Mandate Deadlines
Don't delay as staff must have their first doses by Jan. 27. If your organization is in o... Read more
Find out If the Injunction Applies to Your Organization
Some Medicare- and Medicaid-certified providers, suppliers, and facilities are required to... Read more
Some Medicare- and Medicaid-certified providers, suppliers, and facilities are required to... Read more
Covid-19:
Feds Issue New Due Dates for OSHA Vaccination Mandates
Expect fines if you're not in compliance, guidance suggests. With the holidays over and... Read more
Feds Issue New Due Dates for OSHA Vaccination Mandates
Expect fines if you're not in compliance, guidance suggests. With the holidays over and... Read more
Reader Questions:
Pocket These Coding Basics on Medicare Reimbursement
Question: I've heard conflicting views on what's more critical to include on Medicare... Read more
Pocket These Coding Basics on Medicare Reimbursement
Question: I've heard conflicting views on what's more critical to include on Medicare... Read more
Reader Questions:
Medicare Enrollment Is More Than Getting an NPI
Question: Our young practice wants to take on Medicare patients. Our two physicians h... Read more
Medicare Enrollment Is More Than Getting an NPI
Question: Our young practice wants to take on Medicare patients. Our two physicians h... Read more
Industry Notes:
CDC Offers Omicron Surge Advice for Facilities
With the latest COVID-19 variant ratcheting up the numbers, the Centers for Disease Contro... Read more
CDC Offers Omicron Surge Advice for Facilities
With the latest COVID-19 variant ratcheting up the numbers, the Centers for Disease Contro... Read more
Industry Notes:
FCC Puts $42.7 Million into its Telehealth Program Coffers
The Federal Communications Commission (FCC) has approved more providers and added funds to... Read more
FCC Puts $42.7 Million into its Telehealth Program Coffers
The Federal Communications Commission (FCC) has approved more providers and added funds to... Read more
Industry Notes:
Report Shows How Telehealth Usage Ramped Up During the Pandemic
Even before COVID hit, trends suggested that telehealth was gaining steam — but the pand... Read more
Report Shows How Telehealth Usage Ramped Up During the Pandemic
Even before COVID hit, trends suggested that telehealth was gaining steam — but the pand... Read more