Medicare Compliance & Reimbursement
CMS Market Saturation Tool Helps Determine Provider Density
Medicare Compliance & Reimbursement
- E/M Coding:
Incorrect Codes, Poor Notes, and Setting Debacles Add to E/M Fails
CMS sees uptick in E/M claims problems. Evaluation and management (E/M) services are the bread [...] - Reimbursement:
Manage MSP Issues with Stronger Claims' Policies
Tip: Accurate patient information helps determine primary payer. Don't assume your patient's care falls entirely [...] - Determine Medicare or Private Payer with This Handy Chart
Tip: Check for dual-eligibility. There are a plethora of patient circumstances that impact whether Medicare [...] - Telehealth:
Know These Bipartisan Budget Act Changes Impacting Telehealth
The feds continue to promote telemedicine by lessening restrictions. With new codes outlined last fall [...] - Reader Question:
Anthem Opts Not to Change Modifier 25 Policy
Question: Last year, we heard Anthem would start cutting its modifier 25 payment by 50 [...] - Industry Note:
OIG Offers New Gadgets for Compliance Inquiry
Accessing federal guidance, researching advice, and investigating the nitty gritty of healthcare compliance can be [...] - Industry Note:
CMS Market Saturation Tool Helps Determine Provider Density
If your town is overrun by specialists in your field, you may find the latest [...] - Industry Note:
Check Your 2018 MIPS Status with New Tool
Are you confused about whether or not you should be sending quality data to CMS [...] - Industry Note:
Food for Thought: Meal Planning Reduces Hospital Readmissions, Research Suggests
If you want to cut down on hospital readmissions, meal planning might be the ticket, [...] - Industry Note:
OIG Adds Statistical Sampling To Work Plan
If you thought claims reviews were getting tougher, you were right. Medicare auditors with the [...]
