Watch out: Extremely low falls QM figures may become a red flag. Providers self-reporting quality data has long been a cause for concern, and a new report from a federal watchdog agency shows why. “Among Medicare home health patients hospitalized [...]
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 [...]
Check your modifier 25 claims for erroneous denials. Since July 1, you’ve been facing hundreds of Correct Coding Initiative (CCI) E/M bundles with your general surgery procedures, compliments of CCI 19.2. Now you can forget about some of those edit [...]
Don’t forget to check the deletions as well. The last round of Correct Coding Initiative (CCI) edits for 2013 brings 1276 new edits. The good news is only a few apply to your urology practice. “CCI version 19.3, effective October [...]
Check your modifier 25 claims for erroneous denials. Since July 1, you’ve been facing hundreds of Correct Coding Initiative (CCI) E/M bundles with your general surgery procedures, compliments of CCI 19.2. Now you can forget about some of those edit [...]
Poor behavior on the part of a nursing home chain has resulted in a boon for one hospice. A class action lawsuit brought on behalf of 32,000 residents of Skilled Healthcare nursing facilities resulted in a $677 million verdict against [...]
Poor behavior on the part of a nursing home chain has resulted in a boon for one hospice. A class action lawsuit brought on behalf of 32,000 residents of Skilled Healthcare nursing facilities resulted in a $677 million verdict against [...]
The watchdog agency's recommendations could affect your facility. CMS' method for selecting nursing homes for its Special Focus Facility (SFF) program hasn't exactly earned high marks from the Government Accountability Office. According to a new GAO report, CMS should do [...]
Care provided in nursing homes costs Medicare more, OIG finds The cost of hospice care is squarely on the feds' radar screens -- and there's a new report to prove it. In a report released Dec. 20, the HHS Office [...]
