According to the World Health Organization, being transgender is a mental illness. But that could soon change, as the WHO prepares a new edition of the International Classification of Diseases…
More than 500 healthcare practices have been selected to participate in a new pilot program designed to prevent heart attacks and strokes in Medicare patients, the Centers for Medicare &…
Reimbursement for evaluation and management (EM) services is often the most challenging for primary care physicians and their billing staff. The most common EM codes are based on location, patient…
This week at a hearing before the Senate Finance Committee, providers heard some comforting statements from Senate leaders and a key official from the Centers for Medicare and Medicaid Services.…
Top officials at the U.S. Food and Drug Administration (FDA) have reiterated the need for a National Evaluation System for Health Technology (NEST) program that integrates data from clinical registries,…
As coders grow and mature in their knowledge of and experience with ICD-10, it's critical hospital administrators recognize best practices and pinpoint coding deficiencies for continued improvement. H.I.M. ON CALL…
After three delays and much industry opposition, the United States' healthcare industry transitioned Oct. 1, 2015, to ICD-10, increasing the number of diagnostic codes from 13,000 to 68,000. The transition…
The OASIS guidance manual set to take effect next year now is available, marking yet another step toward standardized collection of post-acute data and potential changes to the Medicare payment…
The implementation of ICD-10 in October of 2015 created hundreds of new diagnostic categories that can be recorded in a patient’s chart. With nearly 30,000 active monthly practices on the…
Medical billing and coding companies in the US are gaining popularity with their efficient services. Small private practices and clinics that want to minimize claim denials and rejections and ensure…
On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued final regulations that revise and significantly strengthen existing Medicaid managed care rules. In keeping with states’ increasingly…
Even though they may have health insurance, growing numbers of Texas consumers are getting unexpected bills from doctors not in the consumers’ health care network. A public policy group told…
Q: Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing…
The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that…
The KVUE Defenders uncovered more concerns involving medical billing transparency following a nation-wide investigation. This time, complaints involve hospitals and other health care providers not providing reasonable cost estimates upfront…
CMS' Medicare Access & CHIP Reauthorization Act of 2015 replaced the current Meaningful Use, Physician Quality Reporting System and Value-Based Payment Modifier this year. Under MACRA, physicians can participate in…