Medicare Compliance & Reimbursement
Avoid Diagnosis Code Debacles on the CMS-1500 or Risk Denials
Medicare Compliance & Reimbursement
- Part B Statistics:
Measure Your Critical Care Numbers Against Other Providers'
See whether your E/M claims are on track. Medical necessity determines whether a service falls [...] - Review These Critical Care Service Examples
Tip: Both the illness and treatment must fit into Medicare’s parameters. With critical care services, [...] - E/M Coding:
Bolster Your Critical Care Claims with Rock-Solid Notes
Hint: Time factors heavily in determining critical care billing. Although it may not happen every [...] - Are Your State's Critical Care Stats Above Average? Find Out
Warning: Critical care is on most MACs’ Targeted Probe and Educate active lists. Benchmarking allows [...] - Clip and Save:
Handy OCR Tool Helps Providers with PHI Quandaries in an Emergency
Follow these three rules to ensure HIPAA compliance. Patient safety comes first in an emergency [...] - Industry Note:
CMS Wants Your Feedback on a Stark Law Revamp
Last month, CMS published a Request For Information (RFI) on the physician self-referral law, also [...] - Industry Note:
Avoid Diagnosis Code Debacles on the CMS-1500 or Risk Denials
Make sure you double-check line 21 on your CMS-1500 before you send Medicare your claims, [...] - Industry Note:
Use the New Medicare Beneficiary Identifiers ASAP
Now that your patients are getting their Medicare Beneficiary Identifier (MBI) numbers, you should be [...] - Industry Note:
Senior Fraud Patrol Recoups Millions for CMS
The Senior Medicare Patrol program continues to go strong, with the HHS Office of Inspector [...] - Industry Note:
Figure Out 2019 Part B Pay from Updated MIPS Performance Data
If you’re curious about what your Medicare pay will amount to in 2019, CMS has [...]
