• [addtoany]
    After an extensive outreach with clinicians, patients, and other stakeholders, CMS tweaked their original strategic objectives to drive progress and improvements. These minor enhancements to the strategic objectives will help guide their final policies and future rule-making in order to design, implement, and advance a Quality   Read more..
    Posted on 18 Jun, 2018
    What You Need to Know About the QPP’s Strategic Objectives
  • [addtoany]
    In the 2018 Medicare Fee Schedule rule, CMS reviews MACRA patient relationship categories and codes, their development and timelines, and provides details for the initial claims-based reporting of the relationship categories and codes to CMS. These patient relationship categories and codes define and distinguish the   Read more..
    Posted on 13 Jun, 2018
    Conquer Patient Relationship Categories and Codes
  • [addtoany]
    Telemedicine now allows providers to virtually interact with patients in a way that improves the quality and delivery of care, especially for those patients who are unable to come to the office. The convenience and instant feedback patients receive are among the driving factors behind   Read more..
    Posted on 8 Jun, 2018
    Learn the Criteria Necessary for Medicare’s Telemedicine Services—Part II
  • [addtoany]
    Medicare pays telehealth services under the Medicare fee-for-service program, with a larger payment made to the consulting physician or practitioner (at the distant site) than the payment made to the facility at the site where the patient is located. According to a MedPAC report, from 2014-2016   Read more..
    Posted on 5 Jun, 2018
    Ace Medicare Telehealth Reimbursement Basics—Part I
  • [addtoany]
    CMS Administrator Seema Verma recently announced a new initiative designed to improve EHR patient data access called MyHealthEData. Designed to improve EHR patient data access, MyHealthEData is a government-wide initiative led by the White House Office of American Innovation in conjunction with the Department of Health   Read more..
    Posted on 22 May, 2018
    Improving EHR Patient Data Access
  • [addtoany]
    Your reimbursement relies entirely on accurate reporting. Someone in your office must understand the code sets, coding guidelines, and the nuances of coding. Additionally, this person must possess the ability to communicate with physicians and other clinicians about how to document a service appropriately to   Read more..
    Posted on 15 May, 2018
    How to Choose the Right Medical Coder for the Job
  • [addtoany]
    Audit tools are essential to successfully completing an audit. Whether you utilize electronic tools or paper worksheets, you will need access to good auditing tools. Electronic audit tools are helpful because they not only assist with the process, but also aid in reporting. The pros   Read more..
    Posted on 11 May, 2018
    7 Tools to Keep on Hand for Successful Self-Audits
  • [addtoany]
    New Medicare Card: Video for Your Waiting Room In April 2018, CMS will begin mailing new Medicare cards with new numbers—and they’re helping you inform your Medicare patients with the New Medicare Cards are coming! video. Play this one video, available from YouTube, in your waiting room. As   Read more..
    Posted on 9 May, 2018
    5 Must-Have Tools & Services from CMS
  • [addtoany]
    New in 2018: QPP Year 2 Eligibility In QPP Year 2, eligible clinicians remain the same, and there is no change in Basic Exemption Criteria, but CMS reduces the number of providers and groups subject to the QPP by increasing the low-volume threshold. The CY 2018   Read more..
    Posted on 3 May, 2018
    MACRA 2018: Learn What’s New in Year 2
  • [addtoany]
    As is the case with patient’s history, payers and auditors use a similar logic for establishing medical necessity when scanning the PE records for over-documentation. Reviewers may identify elements of the PE that are not consistent with the CC and may determine that services were   Read more..
    Posted on 26 Apr, 2018
    Pull the Plug on Medical Necessity Ambiguity

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