MANY readers were shocked by my recent article about Peter Drier, who received a surprise bill of $117,000 from an out-of-network assistant surgeon who helped out during his back operation.
The Centers for Medicare & Medicaid Services (CMS) issued the 2015 Medicare Physician Fee Schedule (Medicare PFS) on October 31, 2014.
While Tuesday's election was important for many reasons, none of them have a direct impact on the ICD-10 debate.
On Oct. 31, the Centers for Medicare & Medicaid Services issued a final rule that will update payment policies and rates under the End-Stage Renal Disease Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after Jan. 1, 2015.
The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.
As patients, we don't have the thousands of dollars it costs to tap into the extensive database information required for the entire body of CPT codes. But the AMA does offer us an easy way to look up one code at a time, for free.
The ICD-10 mandate may be delayed another year, but providers and EHR vendors shouldn’t view the reprieve as an opportunity to relax.
The American Medical Association (AMA) has submitted codes that could finally lead to Medicare reimbursement for end-of-life and advanced care conversations, five years after a previous effort was squashed when…
Did you know that negotiating your medical bills could potentially save you thousands? When you open a medical bill, your eyes likely immediately fall on the total due. For many…
As we move towards building a universal patient-centered data platform in health IT, several sources of data are useful. Data coming from transitions of care, clinical summary documents (C-CDAs) which…
How many times have you gotten a medical bill for more than you were expecting? Chances are, it's happened before, and you're not the only one who's been shocked at…
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…