Hint: Suggested E/M documentation changes could balance shortcomings. If a hefty portion of your Part B take-home pay is tied to E/M office visits, you may want to review recent Medicare proposals. However, depending on your specialty and the number [...]
Hint: Suggested E/M documentation changes could balance shortcomings. If a big part of your Medicare pay is tied to evaluation and management (E/M) office visits, you may be concerned about recent proposals from CMS. But depending on your specialty and [...]
Watch those big-ticket claims or the OIG will watch for you If big-ticket claims are your practice's bread and butter, keep in mind that the OIG is watching carefully. A string of recent OIG audits shows just how attuned the agency [...]
Ever wondered why MUEs matter? Several recent audits show you If big-ticket claims are your practice's bread and butter, keep in mind that the OIG is watching carefully.A string of recent OIG audits shows just how attuned the agency is [...]
Look to three recent OIG audits for guidance. While you're concentrating on medical necessity for your high therapy patients, don't drop the ball on the basics--your intermediary is waiting to slam dunk an overpayment.The HHS Office of Inspector General recently [...]
Medical reviewers deny therapy visits on new grounds.A new federal report on home health agency therapy utilization is bound to turn up the heat even higher on an already hot topic.The HHS Office of Inspector General has released the third [...]
The latest National Correct Coding Initiative (NCCI) has released hundreds of edits involving new-for-2005 central motor evoked potential (EP) study codes 95928 (for upper limbs) and 95929 (for lower limbs). But the effects won't be as bad for neurology practice [...]
Needle electromyography code edits can't be overriddenFor Medicare providers, the Grinch comes in January. Just when you're getting ready to start using your shiny new codes, the Correct Coding Initiative ties them in knots.CPT 2005 includes two new codes for [...]
But many critics disagree as seniors begin to enroll.Medicare beneficiaries using the new Medicare-endorsed prescription drug discount cards can save 10 to 17 percent on brand-name drugs, and 30 to 60 percent on generics, compared to the average prices paid [...]
A new leader soon will take the reins and lead policy-making decisions at the Centers for Medicare & Medicaid Services. President George Bush revealed that he will place Mark McClellan at Medicare's helm to fill the vacancy left after Tom [...]
