CMS Revises Claims Processing Rules for PDGM
The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual providing instructions to home health agencies…
The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual providing instructions to home health agencies…
Not all individuals have the same illnesses, and even for the same chronic diseases, how any patient is affected varies. In determining payments for care, Medicare introduced modifiers to gauge…
Q: Are there any updates on the Evaluation and Management (E/M) code requirements? A: The American Medical Association (AMA) has now weighed in with their E/M requirement modifications, which means that…
The clock is ticking, and you’re trying to select the right E/M level from a drop-down menu in the EHR. Choose a level that’s too high, and you run the…
When you run an independent physician practice, accurate patient billing is essential. A failure to keep on top of this can lead to severe consequences, and not only with a…
The global medical billing outsourcing market is poised to expand for years to come as medical practices face challenges related to multiple payers and medical code representation, and large practices…
Electronic medical or health records (EMRs) are the computer programs now in almost every doctor’s office. They have become not a boon — but a bane — for both doctor…
Billing and coding is always a challenge, but optometrists new to the field of neuro-optometric rehabilitation can find it doubly so, because the charting notes required are very different from…
Dive Brief: CMS Administrator Seema Verma announced Thursday the agency will overhaul coding regulations that she argues have hindered beneficiary access to new medical technologies.Medical device companies will now be…
ICD-10 is a set of around 70,000 diagnosis codes. ICD stands for International Statistical Classification of Diseases and Related Health Problems. The verbosity of the name is foreshadowing. Some of…
“This is madness,” wrote U.S. District Judge Michael McShane in Portland, Oregon, in a scathing rebuke of the Trump administration’s new Title X regulations that includes a gag rule dictating…
With the implementation of the Patient-Driven Payment Model (PDPM) fast approaching, now’s the time to prioritize your ICD-10 training, as proper diagnostic coding will become crucial to keeping your skilled…
For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste,…
Zion Market Research Offers an 8-Year Forecast In 110+ Pages Research Report “Medical Coding Market by Classification System (Healthcare Common Procedure Coding System and International Classification of Diseases), by Mode (In-House and…
It may not be skydiving, but the top item on the "bucket list" of Terry Edwards, MD, is a bold leap in an age of ever larger healthcare conglomerates. This…
The Patient-Driven Payment Model is the biggest overhaul of nursing home reimbursement in at least a generation, but it is only a temporary fix, cautioned an expert at the recent…