The Centers for Medicare & Medicaid Services (CMS) in the past week has proposed Medicare payment rules for outpatient services and physicians for 2021 and finalized payment rules for inpatient…
Most of the physicians lose a significant amount of revenue every year due to minor and major mistakes that cause errors while filing medical claims. A minor write-off in physician…
HHS announced Aug. 14 that it is sending $1.4 billion in COVID-19 relief funds to 80 children's hospitals. Here are five things to know about the distribution of the relief…
On August 3, the Centers for Medicare and Medicaid released the proposed 2021 Medicare Physician Fee Schedule that sets Medicare payment and quality provisions for physicians in 2021. The 2021…
There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want…
New PCS codes were released late last week and are effective Aug. 1, 2020. The codes are considered V37.2. There are 12 new procedure codes, and they are related to…
The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in the latest FAQ from Medicare (released on July 28).…
Rightfully so, the coronavirus pandemic has shone the spotlight on front-line medical professionals who continue to risk their lives treating patients. In the background and often working from home, though,…
Not even six months ago, telemedicine served as a supplement to a hospital’s digital strategy. It was more of a novel offering, considered a nice-to-have or an add-on — not…
There’s nothing more frustrating than rendering a service and not being paid. Nuanced coding rules are difficult to understand, and physicians aren’t taught this information in medical school. Still, health…
Medicare outpatient payments are slated to increase by 2.6 percent next year, a $7.5 billion boost compared to 2020, according the proposed 2021 Outpatient Prospective Payment System (OPPS) rule. Released…
Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock has remained ticking on the…
Minorities have been found to be disproportionately affected by adverse outcomes. Federal officials say their first monthly statistical update illustrating the impact of the COVID-19 virus on the Medicare population…
The terms closed and open are major players for traumatic fracture diagnosis coding. Brush up on some basics with this focus on ICD-10-CM coding for rib fracture initial encounters. First,…
Due to the consistent changes in the federal rules & regulations and payer’s policies, the physician billing services are getting complicated on a daily basis. The cacophony of codes can…
As employers grapple with how to screen employees for the coronavirus upon returning to the workplace, several federal agencies have issued new testing rules and guidance. In June, there were…