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See what the total revenue increase could be for all 7 services. Over the last two months, we’ve looked at four ways to boost revenue for your practice, which could potentially help you adjust care programs, upgrade office equipment, adjust [...]
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
One MAC releases new stats about the medical review program. As Targeted Probe & Educate rolls on, home health agencies are increasingly getting flattened by the new medical review program. So show new TPE results from HHH Medicare Administrative Contractor [...]
Plan of Care denials top Palmetto GBA's list. Another HHH MAC has released preliminary Targeted Probe & Educate review results, and they again bode ill for home health agencies. HHH MAC CGS recently issued TPE results indicating that its reviewers [...]
Take a sneak peek at the three codes that concern you. In 2015, you can wipe two cervical and lumber hemilaminectomy codes off your inpatient-only code list. Here’s why: On Nov. 10, CMS released its final rule with comment period [...]
92960 (Cardioversion, elective, electrical conversion of arrhythmia; external) has a work RVU of 2.25 and a total RVU of 3.63 for a Medicare payment of $123.56 in the facility setting. 92950 (Cardiopulmonary resuscitation [(e.g., in cardiac arrest]) has a work [...]
Hospitals that refer patients to you now might have an even more compelling reason to use home care. CMS made a mistake in calculating the financial penalties hospitals now face for readmitting patients in certain DRGs within 30 days. About [...]
Compare your coding from the quiz on page 25 with our experts' solutions.Read on to see how your answers stack up -- and how much money your choices cost (or saved) your surgeon.Solution 1: Partial Mastectomy Following Biopsy Code the breast [...]
OMB approves new reporting form. A sea change in how Medicare will pay for hospice begins this month. The Centers for Medicare & Medicaid Services will begin collecting quality data for hospices, although at this point the collection is voluntary. [...]
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