Know your own data to assess your risk. The solution for quality and payment problems under PDGM may be something home health agencies don’t expect — more therapy services. A new reminder from HHH Medicare Administrative Contractor National Government Services [...]
Avoid key documentation mistakes that cost you pay. Imagine if you lost 10 percent of your ophthalmology practice’s collections — you’d be in big trouble. Well, that’s the error rate CMS found in the latest Comprehensive Error Rate Testing (CERT) [...]
Avoid key documentation mistakes that cost you pay. Imagine if you lost 10 percent of your dermatology practice’s collections — you’d be in big trouble. Well, that’s the error rate CMS found in the latest Comprehensive Error Rate Testing (CERT) [...]
Avoid key documentation mistakes that cost you pay. Imagine if you lost 10 percent of your ophthalmology practice’s collections — you’d be in big trouble. Well, that’s the error rate CMS found in the latest Comprehensive Error Rate Testing (CERT) [...]
Avoid key documentation mistakes that cost you pay. Imagine if you lost 10 percent of your general surgery practice’s collections — you’d be in big trouble. Well, that’s the error rate CMS found in the latest Comprehensive Error Rate Testing [...]
Focus on E/M, pacemakers. You would be aghast if your cardiology practice had a 35.1 percent error rate in reporting cardiac pacemaker services — yet that’s the rate CMS found in the latest Comprehensive Error Rate Testing (CERT) results. Pacemakers [...]
CMS’s new CERT results show that practices made more errors in 2013 than in the previous year. Part B practices made the lion’s share of coding errors in 2013, according to the new Comprehensive Error Rate Testing (CERT) results, which [...]
CERT results reveal $38.2 billion in improper Medicare payments--$1.4 billion of which was underpaid. If your practice’s collections rate was off by ten percent, you’d be in big trouble, right? Well, that’s the 2013 Medicare Fee-for-Service improper payment rate, and [...]
HHAs serving a high number of outlier patients under the prospective payment system may see their resources diminished further, if the HHS Office of Inspector General gets its way.In a recent report, the OIG highlighted questionable billing statistics (see Eli's [...]
Although your individual insurer may have its own rules for payment, here is a list of diagnoses that many Medicare carriers agree may support medical necessity for CPT codes 92081-92083 (Visual field examination, unilateral or bilateral, with interpretation and report [...]
