Coding Compliance Risk

Holdup at the doctor’s office? New billing codes could be why.

By |2020-04-13T18:40:56+00:00September 24th, 2015|

Starting October 1st, physicians and hospitals will have to be far more specific than ever before when diagnosing problems from visits. Because of this change to the system, called ICD-10, [...]

CMS will reimburse ICD-10 mistakes for one year after transition deadline

By |2020-04-13T18:41:18+00:00July 7th, 2015|

For one year past the Oct. 1, 2015 deadline, the CMS will reimburse for wrongly coded claims as long as that erroneous code is in the same broad family as [...]

Medicare Fraud – Taken For a Ride By Ambulance Companies in New Jersey

By |2020-04-13T18:41:26+00:00April 15th, 2015|

A four-month Medicare fraud crackdown targeting ambulance service fraud has resulted in 11 New Jersey-based ambulance service providers relinquishing their licenses this year, according to the New Jersey Department of [...]

New “X” Modifiers and Impact to UnitedHealthcare Commercial Reimbursement Policies

By |2020-04-13T07:16:01+00:00January 18th, 2015|

For information related the the New "X" Modifiers and Impact to UnitedHealthcare Commercial Reimbursement Policies, please see the January UnitedHealthcare Jan 2015 Network Bulletin.

CMS Final Payment Rules Focus on Value, Quality, and Transparency

By |2020-04-13T18:22:36+00:00December 29th, 2014|

As published in www.aapc.com Healtcare Business News December 2014 CMS released final rules outlining how Medicare will pay healthcare providers and suppliers in 2015. According to an October 31 CMS News press [...]

CMS Final Payment Rules Focus on Value, Quality, and Transparency

By |2020-04-13T18:22:44+00:00December 29th, 2014|

As published in www.aapc.com Healthcare Business News December 2014 CMS released final rules outlining how Medicare will pay healthcare providers and suppliers in 2015. According to an October 31 CMS News press [...]