Conducting a job interview for potential new employees is a common occurrence, yet is often done in a manner of disorganization. Employers are frequently asking questions that shouldn't be asked and neglecting to ask those questions that may be more essential for conducting a proper interview... Read More
Medicare requires direct supervision of all hospital outpatient therapeutic services unless CMS makes an assignment of either general or personal supervision for an individual service.
CMS posted a three page list of Hospital Outpatient Therapeutic codes that were evaluated for a change in... Read More
All sponsors are required to adopt and implement an effective compliance program, which must include measures to prevent, detect and correct Part C or D program noncompliance as well as FWA.
The compliance program must, at a minimum, include the following core requirements:
&nb... Read More
All persons who provide health or administrative services to Medicare enrollees must satisfy general compliance and FWA training requirements. This module may be used to satisfy both requirements.
This training module consists of two parts:
(1) Medicare... Read More
Medicare Quarterly Provider Compliance Newsletters are an educational tool designed to provide education on how to avoid common billing errors and other erroneous activities when dealing with the Medicare Program. It includes guidance to help health care professionals address and avoid the top issu... Read More
In this MLN Connects™ video on Coding for ICD-10-CM: More of the Basics , Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) provide a basic introduction to ICD-10-CM coding. The objective of... Read More
What are NCDs and LCDs?
NCD — NATIONAL COVERAGE DETERMINATIONS
Medicare specific coverage on the national level. All Medicare carriers are required to follow the NCDs. The NCDs are developed by CMS to describe the circumstances for Medicare coverage nationwide for an item or se... Read More
On December 3, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that will improve CMS’ ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare.
This fact sheet summarizes CMS’ regulatory... Read More
Thanks to the over whelming positive feedback and support from our customers, we recently launched our new edition of our DRG-Grouper.
Same great classification and reimbursement methodologies, however we have made various cosmetic changes to the way our grouper looks and... Read More
Joint DME MAC/PDAC Publication
The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have evaluated the MyoPro® upper extremity assist device and determined that it falls within the Durable Medical Equipment (DME) benefit category. Claims for MyoPro® should be su... Read More
Medicare has established 5 new codes for reporting FQHC (Federally Qualified Health Center) services effective Oct 01, 2014. Very specific guidelines are to be followed for proper reimbursement.
G0466 — A medically-necessary, face to face encounter (one-on-one) between... Read More
I would recommend this without reservation to a new coder or student. Although students should still become familiar with their books and coding conventions for testing purposes, this online product is the first I have seen that so closely mirrors the indexes in books. You can easily narrow... Read More
In this electronic age, Social Media has quickly become a very successful tool used for advertising/marketing, communication of various topics and reaching readers and networks beyond our wildest dreams. These networks are often leading to various opportunities or other positive occurrences that we... Read More
Find-A-Code has posted the November 2014 edition of the Medicare Evaluation and Management Services Guide. Go to https://www.findacode.com/medicare/e-m-guidelines-manuals.html From the title page of the guide:
This guide is offered as a reference tool and does not re... Read More
What's new? Article Understanding TOS Discounts and DMPOs Article Compliance Program - What are the Requirements to Implement an Effective Program Article Vacuum Erection Devices (VED) Article Collagen Surgical Dressings - Coding Verification Review... Read More
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