CMS will begin mailing new Medicare cards with a new Medicare number (previously called the Medicare Claim Number on cards) to your patients in April 2018. Beginning in October 2018, through the transition period, CMS will return your patient’s new Medicare number (Medicare Beneficiary I... Read More
CMS is adopting a new interpretation of the statute that impacts how adjustments to the fee schedule based on information from competitive bidding programs apply to wheelchair accessories used with group 3 complex rehabilitative power wheelchairs. Effective July 1, fee schedule amounts for wheelchai... Read More
In a study report, the Office of the Inspector General (OIG) noted that 42 percent of claims for Evaluation and Management (E/M) services in 2010 were incorrectly coded, which included both upcoding and downcoding (i.e., billing at levels higher and lower than warranted, respectively), and 19 percen... Read More
Today, June 29, 2017 the Centers for Medicare & Medicaid Services (CMS) posted a final rule that will publish on July 5, 2017 to implement changes to the Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) programs to reflect changes to the way states adjudicate... Read More
Proposed rule builds patient-centered system of care to increase competition, quality and care
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would update payment policies for the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). Th... Read More
Medicare paid hundreds of millions in electronic health record incentive payments that did not comply with federal requirements according to the OIG. The OIG estimated CMS inappropriately paid $729,424,395 to EPs who did not meet the requirements for meaningful use.
Eligible professional&rsqu... Read More
The Centers for Medicare & Medicaid Services (CMS) today issued a Request for Information (RFI) seeking recommendations and input from the public on how to create a more flexible, streamlined approach to the regulatory structure of the individual and small group markets. Our goal through this pr... Read More
Don't let this happen to you! Some sources suggest that United Health Group may be on the line for over $1 billion for ignoring issues they identified because of improperly calculating risk adjustment for millions of Medicare beneficiaries. Check out Find-A-Code's new HCC Coder product at https://ww... Read More
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