Medicare Compliance & Reimbursement
In other news...
• Waiting for the Medicare therapy cap exceptions process to expire once again at the end of 2010? Good news: It may hang on for another two years. In mid-Sept 2009, Sen. Max Baucus (D-Mont.) released a summary of legislation that includes a two-year extension of the therapy cap exceptions process, according to PT Bulletin Online. The proposal also includes a one-year fix for the Medicare Physician Fee Schedule's (MPFS) sustainable growth rate (a 0.5 percent increase, as opposed to the 21.5 percent decrease included in the MPFS final rule). In addition, the proposal would extend the 1.00 floor for geographic practice cost indices for two more years. Also of note, the Senate bill bans specialty hospital self-referral and requires "increased transparency on disclosure of financial relationship between physicians and referred professional services," the Bulletin noted
Medicare Compliance & Reimbursement
- REIMBURSEMENT:
Cover Cardiology E&M Coding Bases With 5 Smart Compliance Moves
Check out this succinct 'million dollar statement' to cinch documentation requirements. Are your cardiology or [...] - PART B PAYMENT:
Legislators Offer New Year's Gift With Temporary Medicare Pay Fix
Plus: You'll face a 10-day payment delay from MACs as they update their claims systems [...] - COMPLIANCE NEWS:
Are Internal Auditors Obligated to Report Adverse Findings to Medicare? Genesys Cardiology Qui Tam Lawsuit Raises Questions
The case stirs debate over the ethics of auditors turning complainants. Genesys Health System recently [...] - CONSULT ELIMINATION:
New Modifier AI Allows Multiple Docs to Bill Initial Hospital Care
Modifier AI will denote the primary physician of record, now that consult coding is a [...] - THERAPY BILLING:
Take a Quick Refresher on Therapy Supervision Rules
Keep incident to billing and assistant supervision issues separate. If you've been concentrating on how [...] - PART B MYTHBUSTER:
Avoid Billing Locum Tenens For New Docs Who Aren't Yet Credentialed
Medicare doesn't consider locum tenens an appropriate billing scenario for an uncredentialed physician. Myth: Tired [...] - PHYSICIAN NOTES:
Not All OIG Audits Result In Bad News Or Accusations Of Wrongdoing
This New York cardiologist spent time under the OIG's microscope, only to learn he was [...] - INDUSTRY NEWS:
Medicare Fraud Funds Extravagant South Florida Lifestyle
Marquez bought $55M worth cars, horses, and diamonds. On Jan 5, 2010, Ihosvany Marquez, of [...] - In other news...
• Waiting for the Medicare therapy cap exceptions process to expire once again at the [...]
