CMS is reviewing claims and letting practices know which clinicians need to take part in the Merit-based Incentive Payment System (MIPS), an important part of the new Quality Payment Program (QPP). In late April through May, you will get a letter from your Medicare Administrative Contractor that pro... Read More
Physician and teaching hospital review and dispute for the Program Year 2016 Open Payments data publication ends May 15; review of the data is voluntary but strongly encouraged. Disputes must be initiated during the 45-day review and dispute period in order to be reflected in the June 30, 2017, publ... Read More
Prescribers, including dentists, who write prescriptions for Part D drugs are to be enrolled in an approved status or validly opted out with Medicare, in order for their patients’ prescriptions to be covered under Medicare Part D.
Fu... Read More
E&M services are the most reviewed by carriers and government bodies. Don't be Unprepared - Let NAMAS turn you into an E&M expert!
Are you primarily an Evaluation & Management (E&M) auditor? Or, are you looking to advance into E&M auditing? Our next 2-day E&M Auditing BootCa... Read More
Find-A-Code has posted the April 2017 edition of the Medicare Quarterly Provider Compliance Newsletter at:
pg 3 - Comprehensive Error Rate Testing (CERT): Basic Life Support (BLS) Ambulance... Read More
On February 3, 2017, the Department of Justice (DOJ) issued a Final Rule to increase the civil monetary penalties assessed under the False Claims Act (FCA), due to inflation for the year 2017, to an all-time high of $10,957 (minimum) to $21,916 (maximum). Thirty years ago, in 1986, Co... Read More
On April 14, CMS issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals. The proposed rule aims to relieve regulatory burdens for providers; supports the patient-doctor relationship in health care; and promotes transparency, flexibility,... Read More