Learn which Medicare programs are impacted. Information blocking remains a high priority for enforcement, and a recent proposed rule aims the crosshairs on Medicare providers’ interoperability practices and the impact on incentive payments. In 2016, the 21st Century Cures Act [...]
Warning: Medicare providers are the target demographic. Since the 21st Century Cures Act was enacted in 2016, the feds have methodically executed data sharing regulations — and penalties for violations. Information blocking continues to be a top enforcement concern, and [...]
But Medicare’s improper pay rate for hospices has fallen significantly. Hospices looking for relief from regulatory and medical review burdens may have a good argument, thanks to new payment error figures. In a new Comprehensive Error Rate Testing report released [...]
Bad news: Hospices had the highest rate of erroneous claims. The heavy hand that the feds have been taking with hospice scrutiny and enforcement may not be so necessary, new payment error figures suggest. In a new Comprehensive Error Rate [...]
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 [...]
Keep on top of PPS problems to ensure accurate payment. M0110 is hard enough for agencies to get right, and now a recently discovered claims system problem is making the new OASIS question on episode se-quence even more confusing. “Seems [...]
Question: We do prenatal interviews in which expectant parents meet with a pediatrician to ask about our practice and policies. Can I use a consultation code for these sessions?New York Subscriber Answer: No specific E/M code exists for either prenatal [...]
New ICD-9 codes for 2004 will allow you to report several conditions or circumstances, including muscle weakness and converted surgeries, and in one case will simplify coding by eliminating a fifth digit from an already-existing diagnosis. There really are no [...]
