HHAs warn rebasing cuts are killing the home care industry. Home health agencies (HHAs) have little reason to celebrate when comparing the proposed and final PPS rules for 2015. However, the episode base rate of $2,961.38 in the Final Rule [...]
No last-minute reprieve for HHAs on rate reduction. There isn’t much change to home health agencies’ reimbursement cuts when comparing the proposed and final PPS rules for 2015 — either way, they’ll be adding to agencies’ financial burdens. But how [...]
It will be IPS all over again if CMS moves ahead with rate slashing, commenters warn. The feds seem intent on undercutting one of their most cost effective services, judging from the prospective payment system proposed rule for 2015. So [...]
Rebasing to cost industry hundreds of millions. The news on face-to-face may be good, but home health agencies will continue to have to tighten their budget belts under another year of rebasing reimbursement cuts. In its 2015 home health prospective [...]
Abdul Waheed Alex Shittu, the owner of S & S Medical Supply Etc. located in Stafford, Texas, "pleaded guilty to one count of conspiracy to commit health care fraud and one count of aggravated identity theft," according to a Nov. [...]
This exam requires a pair of procedures -- and don't forget about that E/M, either.Coders that misfile a claim for a focused assessment with sonography in trauma (FAST) exam risk costing the practice twofold, as this procedure requires a pair of [...]
Most FAST exam claims also need modifier 26 Patients who report to the ED with abdominal trauma often require a FAST exam so the physician can check for internal injuries. The exam is a two-part procedure, and you must code [...]
Presented by Steven M. Verno, CMBSI Thank you, operator, welcome everybody to 'negotiating health insurance contracts.' Let me start out by saying 1) I am not an attorney. I am a practice manager and I am a medical biller and [...]
Feeling hit hard by malpractice insurance costs? Medicare feels your pain. Starting next year, the malpractice rates in your area will have a greater weight in determining the Medicare Economic Index, as well as the geographic adjustments to physician pay. Malpractice [...]
When a surgeon works concurrently with other physicians to treat a patient, you'll stand a better chance of receiving full pay for the surgeon's services if the claim establishes that the care he or she provided was necessary because of [...]
