Last year I wrote a blog about the new Medicare Outpatient Observation Notice or MOON, the latest in the CMS library of Beneficiary Notices. A lot of folks thought no […]
As usual I have a song in my head and this month is no different (rock ‘n’ roll tunes are so catchy)! As we are about to navigate through uncertain […]
When it comes to regulatory changes, do we still have anything left to fear? Oh sure, there are all kinds of changes coming for us, like the merit-based incentive payment […]
In case you were on vacation and missed it, on August 6, 2016, Congress enacted the Notice of Observation Treatment and Implication for Care Eligibility Act. The CMS announcement regarding […]
Congress passed MACRA in a bi-partisan (yes it actually can happen!) effort. The Center for Medicare and Medicaid Services (CMS) released the 900-page proposed rule on April 27, 2016, requesting […]
MIPS is coming and physicians are unsettled. Programs with the best of intentions can have unintended side effects. Healthcare providers across the U.S. have justified complaints regarding the multiple reporting […]
I was catching up on regulatory reading today (yes, reading CMS regulations is part of my job responsibilities) and saw something troubling—providers are still balance billing qualified Medicare beneficiaries (QMBs, […]
Seems little in health care is straightforward. An area that I’ve often found confusing has become even more complex: Accurately reporting medical devices. To meet CMS regulations, not only do […]
Exploring changing quality programs with Christine McNamara, Program Director for Coding Services at 3M HIS and Melody Mulaik, President and Co-Founder of Coding Strategies, Inc.
I have always wondered why the reimbursement for services provided at a Provider-Based Clinic (PBC) was higher (often more than 50 percent higher) than the same services provided at a […]
You may have heard different rumors regarding the Two-Midnight audits. Here’s a breakdown of the latest information: In April, CMS announced it was not going to impose an inpatient payment […]
Industry experts met in March 2016 at the State Healthcare IT Connect conference to discuss best practices.