May 13th, 2019 / By Jean Jones, CPC
The Boston Globe is running a series of articles about patients being billed for out-of-network providers in the healthcare setting. The articles detail how patients get hit with a surprise […]
May 8th, 2019 / By Allison Morgan, MS, CPC
While the intent of MIPS is important with its end goal of improved quality and patient care, the program’s content can be challenging for coders, billers and providers. The data […]
October 6th, 2017 / By L. Gordon Moore, MD
“The Medicare Payment Advisory Commission is pushing for the immediate repeal and replacement of a Medicare payment system that aims to improve the quality of patient care.” – Modern Healthcare […]
May 3rd, 2017 / By Kristine Daynes
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]
April 21st, 2017 / By Mary Zeigle, MS
A recent survey in Healthcare Informatics on physician readiness for implementing MACRA indicates a strong need for assistance and support. The overall results of readiness of physicians polled show that […]
December 21st, 2016 / By Cheryl Manchenton, RN
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 […]
December 7th, 2016 / By Rebecca Caux-Harry
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 […]
Have you been leafing through all 2,000+ pages of the Final Rule? Save yourself time and learn how your system can succeed under the new guidelines.
September 26th, 2016 / By L. Gordon Moore, MD
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 […]
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.
May 13th, 2016 / By Gretchen Mills
On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]
