According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]
On January 17, 2019, CMS issued Transmittal 4204, which states HCPCS Q4122-Dermacell per square centimeter can be assigned either revenue code (RC) 278-Implant or RC 636-Drugs requiring detailed coding. I […]
Modern Healthcare recently published another article questioning the utility of the CMS hospital readmission reduction program (HRRP). The article used as its basis two publications, the first of which returned […]
One of the things that makes Tom Brady a great quarterback is his ability to think downfield. He’s not just thinking about the current play, but considering all the plays […]
In this webinar, 3M quality expert Cheryl Manchenton will discuss the latest HAC regulatory updates and penalties and examine the clinical impact on your hospitals and your patients.
CMS has released the Advance Notice Parts I and II per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year. The Advance Notices provide the parameters […]
On January 24, 2019 CMS released MNL Matters article SE19002, effective January 1, 2018. The change applies to acute care, long-term care and critical access hospitals. As of January 1, […]
In a Health Affairs blog and an Inside Angle podcast discussion, the health policy expert, physician and self-styled contrarian, Bob Berenson explains why the Evaluation and Management (E/M) coding guidelines […]
Gordon Moore: Welcome to the Inside Angle Podcast. This is Gordon Moore, your host. And today, I’m speaking with Robert Berenson. He is a physician who joined the Urban Institute […]
Since the Final Rule for 2019 averted the threat of reduced payment for professional services concerning the -25 modifier, I thought revisiting this troublesome modifier would be a good idea. […]
The new year is upon us: Are you ready for the 2019 Value-Based Purchasing Program? Eric Sorenson and Cheryl Manchenton will help you get up to speed.
Yesterday, I saw a new release from CMS clarifying documentation requirements for E/M services in 2019. Little has changed about the data that needs to be collected, but there has […]