It’s fall — and that usually means CMS will soon drop its final rule on the Medicare Physician Fee Schedule. But this September, a brand new final rule just fell into your lap: the “Program Integrity Enhancements to the Provider Enrollment Process” Final Rule. This rule extends CMS’s authority to take action against “unqualified and […]
If your practice has an Ambulatory Surgical Center (ASC), you’re part of the millions Medicaid saves every year. However, you reap fewer benefits than Hospital Outpatient Departments (HOPDs). A new bill on the table could serve to ease some of the burden your ASC faces, especially relating to the variable CMS ASC approved procedure list. […]
For providers to get paid when they treat Medicare patients, they have to be enrolled in the Medicare program. But the enrollment process and directions for Medicare enrollment application CMS-855I are complicated and confusing! One wrong entry can delay your application setting you back thousands of dollars while you wait. These FAQs will help you […]
CMS won’t release the 2020 Medicare Physician Fee Schedule final rule until later this fall, but that doesn’t mean you should wait to shore up your reimbursement for coding remote patient monitoring based on the proposed rule. Released in July, the proposed rule contains important clues about what you can expect next year. And even […]
Did you receive a perfect score in the MIPS Promoting Interoperability category in 2017 or 2018? Most practices did in those first two years, but this year, it will be much more difficult to achieve even a high score let alone a perfect one with the changes for MIPS Promoting Interoperability 2019. The worst case […]
Without proper medical credentialing, a medical practitioner legally cannot work at a hospital or partner with insurers. Having medical staff credentialing training is crucial to ensure a new physician or practitioner is allowed to see patients, receive insurance reimbursements, and hospital privileges. Fail to attain on-time credentialing and the new staff will fail to meet […]
Several months ago, the Centers for Medicare & Medicaid Services (CMS) released an updated Medicare telemedicine policy for Medicare, which went into effect on Jan. 1, 2019. The new changes in the CMS’ finalized Calendar Year 2019 Physician Fee Schedule for Medicare telemedicine policy are brought with the goal of streamlining the healthcare system, and […]
Several weeks ago, a customer called and asked, “How long should we keep our patients’ medical records before destroying them?” Over the years, I’ve heard a variety of answers to this question, and it never seemed...
Payer contract negotiations don’t have to be painful. Consider these action items to help keep you focused, avoid payer pressures, and prioritize your organizational goals to ensure the right outcomes for your practice...
Making the mistake of employing an excluded physician, nurse, nonphysician provider or administrator will lead to you facing thousands in civil money penalties — not to mention the money you’ll lose for services you’ve provided that can never be billed. Thinking that this can’t affect your practice is a HUGE mistake. In fact, the Office […]