The Centers for Medicare & Medicaid Services (CMS) has released proposed policies in an attempt to insure its beneficiaries will get greater protections, value, and care in the services they receive. The 2014 Advance Notice and draft Call Letter takes important steps to improve payment accuracy for Medicare Advantage (Part C) and in Medicare prescription drug (Part D) plans for …
New Healthcare Law for 2014 Will Benefit Consumers (and Providers)
CMS announced it has passed a new rule aimed at providing states and insurers with more flexibility in implementing the Affordable Care Act. Consumers will have a consistent way to compare and enroll in health coverage in the individual and small group markets. This will make it easier for consumers to purchase insurance that will provide better quality, and expanded …
Get Familiar with Stage 1 Meaningful Use Changes
The Stage 2 rule for the Electronic Health Record (EHR) Incentive Programs included changes to the Stage 1 meaningful use objectives, measures and exclusion for eligible professionals (EPs). To read more visit our Biller's Blog.
Get Familiar with Stage 1 Meaningful Use Changes
The Stage 2 rule for the Electronic Health Record (EHR) Incentive Programs included changes to the Stage 1 meaningful use objectives, measures and exclusion for eligible professionals (EPs). Effective January 1, 2013 Stage 1 Objective Changes to Objective Reporting Status Use Computerized Physician Order Entry (CPOE) for medication orders directly entered by any licensed healthcare professional Added Alternative Measure: More …
As Flu Season Continues Review Claim Reimbursement for Vaccinations
If your office is administering Influenza Virus and Pneumococcal vaccinations, you should review the following information to insure you are submitting the correct diagnosis and procedure codes to receive the proper claim reimbursement. The vaccine procedure code should be chosen based on the description of the drug and the age of the patient. Each vaccine code should be billed with …
As Flu Season Continues Review Claim Reimbursement for Vaccinations
If your office is administering Influenza Virus and Pneumococcal vaccinations, you should review the following information to insure you are submitting the correct diagnosis and procedure codes to receive the proper claim reimbursement. The vaccine procedure code should be chosen based on the description of the drug and the age of the patient. Each vaccine code should be billed with …
Moving Forward: The Bundled Payments for Care Improvement Initiative
CMS has announced the participants for Models 2 through 4 of the Bundled Payments for Care Improvement Initiative (BPCI). Models 2 and 3 involve a retrospective bundled payment arrangement where actual expenditures are reconciled against a target price for an episode of care. Model 4 involves a prospective bundled payment arrangement, where a lump sum payment is made to …
Prevent These High Volume Claim Denials
The best way to keep your income stream flowing properly is to prevent claim denials. You should be aware of the following high volume denial reason codes and prepare a strategy to keep them to a minimum in your practice. By utilizing an advanced Medical Practice Management Billing Software like Iridium Suite from Medical Business Systems, many of these types …
Moving Forward: The Bundled Payments for Care Improvement Initiative
CMS has announced the participants for Models 2 through 4 of the Bundled Payments for Care Improvement Initiative (BPCI). Models 2 and 3 involve a retrospective bundled payment arrangement where actual expenditures are reconciled against a target price for an episode of care. Model 4 involves a prospective bundled payment arrangement, where a lump sum payment is made to …
2013 Orthopedic Surgery CPT Code Changes and Additions
These are the highlights of the seven CPT code changes and a listing of numerous CPT code additions affecting Orthopedic Surgery billing in 2013. Make sure you review the full CPT manual for complete details of all coding changes to insure you receive your optimum claim reimbursements. To read more visit our Biller's Blog.
