Medicare Compliance & Reimbursement
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 known as the Stark Law, in the Federal Register. The RFI follows the same path as other recent agency communications, looking specifically at ways to improve patient care while cutting down on provider administrative burden. “We are looking for information and bold ideas on how to change the existing regulations to reduce provider burden and put patients in the driver’s seat,” said CMS Administrator Seema Verma in a fact sheet on the RFI. “Dealing with the burden of the physician self-referral law is one of our top priorities as we move towards a health care system that pays for value rather than volume.” CMS is accepting commentary and ideas on revising and improving the Stark Law, keeping quality, value-based care in mind until August 24, 2018. Find the RFI in the Federal Register at www.gpo.gov/fdsys/pkg/FR-2018-06-25/pdf/2018-13529.pdf.
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 [...]
