CMS Cancels Two Mandatory Pay Models and Scales Back a Third

The CMS on Tuesday said it will toss two bundled-payment models and cut down the number of providers required to participate in a third, citing providers' requests to have more…

Comments Off on CMS Cancels Two Mandatory Pay Models and Scales Back a Third

CMS Targets Heart Disease With New Program

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 &…

Comments Off on CMS Targets Heart Disease With New Program

CMS Releases New OASIS Guidance Manual

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…

Comments Off on CMS Releases New OASIS Guidance Manual

CMS’s Final Rule on Medicaid Managed Care

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…

Comments Off on CMS’s Final Rule on Medicaid Managed Care

CMS Issues Alert on ICD-9 and ICD-10 Exclusions

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…

Comments Off on CMS Issues Alert on ICD-9 and ICD-10 Exclusions

Louisiana Leads The Nation In Medicare Overbilling

Louisiana posted the highest rate of Medicare being overbilled for services in the nation in 2015, with providers charging an estimated $1.25 billion more than they should have, according to…

Comments Off on Louisiana Leads The Nation In Medicare Overbilling

CMS Posts New Medicaid IT Resources

The Centers for Medicare & Medicaid Services has launched an online resource to support states' efforts to update outdated IT systems, Andy Slavitt, CMS' acting administrator, announced on Monday. Through…

Comments Off on CMS Posts New Medicaid IT Resources

Four States Get ICD-10 Deadline Extension

Four state Medicaid programs have been approved by the Centers for Medicare & Medicaid Services to delay transitioning to ICD-10 codes by the Oct. 1 deadline. California, Louisiana, Maryland and…

Comments Off on Four States Get ICD-10 Deadline Extension

8 Tips For Protecting Revenue Under ICD-10

The “Increasing Clarity for Doctors by Transitioning Effectively Now Act” is an attempt to create a 'safe harbor' for medical claim reimbursements for physician practices struggling to get ICD-10 coding…

Comments Off on 8 Tips For Protecting Revenue Under ICD-10
Read more about the article CMS Offers ICD-10 Advice for the Home Stretch
Billing service

CMS Offers ICD-10 Advice for the Home Stretch

The Centers for Medicare and Medicaid Services has just released a fact sheet on preparing for ICD-10. This latest message offers suggestions for providers whose information systems may not be…

Comments Off on CMS Offers ICD-10 Advice for the Home Stretch