HCFAC rakes in $5 billion. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why it will continue. “During Fiscal Year (FY) 2021, the Federal Government [...]
Pro tip: Calling a payment to a physician a ‘copay’ doesn’t mean it’s not a kickback. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why [...]
Plus: MAC denies $2.1 million in GIP claims. One HHH Medicare Administrative Contractor seems to be wasting no time resuming post-payment medical review of claims from the COVID-19 public health emergency. The Centers for Medicare & Medicaid Services recently announced [...]
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 [...]
VITAS Healthcare’s new office in Pensacola, Fla., is its forty-fifth location, the Pensacola News Journal reports. The Miami-based chain operates in 15 states and the District of Columbia, it notes on its website. Its 11,669 staffers provide care to about [...]
VITAS Healthcare’s new office in Pensacola, Fla., is its forty-fifth location, the Pensacola News Journal reports. The Miami-based chain operates in 15 states and the District of Columbia, it notes on its website. Its 11,669 staffers provide care to about [...]
Learn how the point ranges will change to earn each star rating. It seems like the Centers for Medicare & Medicaid Services (CMS) has gone crazy for quality data, and now you have a whole set of new quality measures [...]
Question: Could you explain how to report ICD-10 codes for carpal tunnel syndrome (CTS)? Our coders have had a problem transitioning from ICD-9 to ICD-10 on our CTS claims. New York Subscriber Answer: ICD-10 premiered in October of 2015, but some coders [...]
Heads up: Don’t ignore categories with associated signs and symptoms. A patient who suffers from carpal tunnel syndrome (CTS) is experiencing a compression neuropathy. This compression can lead to paresthesia, pain, numbness, and other symptoms in the distribution of the [...]
