An Out-of-Control Medicare Audit
What happened to Eastern Carolina internal Medicine (ECIM) in Pollocksville, North Carolina is a provider’s nightmare about government oversight run amok. A Medicare audit began as a medical records request.…
What happened to Eastern Carolina internal Medicine (ECIM) in Pollocksville, North Carolina is a provider’s nightmare about government oversight run amok. A Medicare audit began as a medical records request.…
No one enjoys opening medical bills — or paying them, for that matter. While the average American experiences slight bouts of sticker shock whenever a large procedure or unexpected test…
"There are no more delays and the system will go live Oct. 1. Let's face it guys, we've delayed it several times, and it's time to move on." — CMS…
The doctor is recommending tests that don't seem necessary, the hospital charged you $20 for that Tylenol you took during your stay -- and what can you do about it?…
In the conference room of a D.C.-area hotel, Rob Gibran rose from one of many round tables, waited in line, stepped up to a mic, and called for an impromptu…
Medical billing errors are rampant, and with changes to the healthcare system mandated by the Affordable Care Act, as well as a conversion in medical billing codes expected later this…
A new ICD-10 deadline is almost upon the healthcare industry. The Centers for Medicare & Medicaid Services said late Thursday it expects the Department of Health and Human Services to…
“I find it comical that credibility and date are in the same sentence,” Sid Hebert said, “since we’re going for our fourth” ICD-10 compliance deadline. Hebert, Humana’s ICD-10 program manager,…
For the first time, the federal Centers for Medicare and Medicaid Services (CMS) has made public a database showing what it pays out to individual physicians. In a press release,…
A delay in requiring all providers of medical care to use a new health-records and billing system to describe treatments is giving small medical offices major headaches. Billing is a…
Like medical coders, billers, physicians, and others in practices nationwide, CMS was both surprised and disappointed that Congress delayed ICD-10 implementation, but it remains committed to the conversion and plans…
Confused about the implementation of the new medical coding system called ICD-10? So is everyone, including the federal government — so much so, in fact, that Congress passed legislation that…
Much has been written about the pro’s and con’s of the ICD-10 delay. To date, CMS has yet to issue the new deadline, or provide guidelines for how organizations are…
Many of the complexities of medicine are distilled down to a vocabulary of diagnostic codes, called the International Classification of Diseases (ICD), which are used by doctors, insurers, and hospitals.…
To ensure that you can perform all the necessary job requirements out in the medical coding field, the CPC certification examination itself tests for strength in all areas, including the…
Healthcare providers say Medicare is going to short-change them on patients who spend fewer than two nights in the hospital, and delaying implementation of a new payment policy until October…