Let this Q&A shed light on how these updates will impact patients and reimbursement. Every year Medicare makes changes, and you need to be aware of what’s being revised year to year so you can modify how your eye care [...]
Part B Medicare premiums for your patients will go down next year, but their Part A deductible and copays will go up. The standard monthly premium for Medicare Part B enrollees will be $164.90 for 2023, a decrease of $5.20 [...]
The Senior Medicare Patrol’s recoveries are down, but it’s keeping up the pressure on the hospice industry. Hospices have been feeling scrutiny from regulators for some time, but now it’s coming from a new source — your patients’ peers. “In [...]
In 2020, the Senior Medicare Patrol fraud-fighting program netted about half its $16.8 million in recoveries from a home health investigation (see story, p. 190). For 2021, there’s no mention of home health in the SMP annual report at all, [...]
HHA profit margin in 15% range for fifth year in a row. Despite the fact that key indicators continue to decline for home health agencies, Medicare Payment Advisory Com-mission members indicated they will recommend a 5 percent payment reduction to [...]
Agency number and episode volume fall — again. Take a look at the facts and figures that law- and policymakers will use to decide your future reimbursement. The Medicare Payment & Advisory Commission cites these 2018 statistics in its leadup [...]
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 [...]
Hint: Proposal would cause one practice in our sampling to lose $25,000 in a year. If your practice often complains about the limitations that the 1995 and 1997 E/M guidelines place on E/M coding, CMS may have delivered a gift [...]
Watch out: Medicare has specific requirements other payers might not follow. The U.S. Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer beginning at age 50 years and continuing until age 75 years. The following tips can help you [...]
