Remote Medical Coding

Final 2016 Medicare Physician Fee Schedule Released

By |2020-04-13T06:58:30+00:00November 7th, 2015|

The MGMA reports that the final 2016 Medicare physician fee schedule has been released. The Centers for Medicare & Medicaid Services (CMS) finalized the Medicare physician fee schedule (PFS) for 2016. Key policies finalized in the 2016 payment rules include: Finalizing the Home Health Value-Based Purchasing model. Finalizing updates to the “Two-Midnight” rule. Finalizing the [...]

ICD-10 Aftershocks: The Challenges Every CFO Can Expect

By |2020-04-13T06:55:56+00:00October 28th, 2015|

If any individual in the C-suite will feel the effects of ICD-10 most prominently, it will be the hospital CFO. As reported in Becker's Hospital Review, October 2015, in a article by Kelly Whittle, MS, Principal, ICD-1 0 Advisory and Whittle Advisors, LLC, the top 4 issues faced by hospital CFO will include. Significant productivity [...]

Now there’s 70,000 Ways to Classify Ailments

By |2020-04-13T18:40:41+00:00September 29th, 2015|

Doctors, insurers and hospitals are preparing themselves for possible business disruptions on Oct. 1. This is when ICD-10 hits, a massive new set of codes meant to describe any illness or injury. Under ICD-10, cardiologists will have over 800 codes for describing angioplasty. Dermatologists will have 8 different types of acne. Gastroenterologists who aren't sure what's [...]

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, patients should expect longer than usual times to be billed for their portion. This may even add waits to the doctor's office when visiting. To [...]

Medicare Reimbursement Rates Get a Small Increase

By |2020-04-13T18:41:09+00:00July 16th, 2015|

California Medical Association (CMA ALERT) - The CMS announced that a 0.5% increase will be made for Medicare reimbursement rates, which are effective starting July 1, 2015 to December 31, 2015. The increase to Medicare reimbursement rates is an effect of the Medicare Access and CHIP Reauthorization Act, signed in April 2015. CMS has released [...]

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 the right one. There had been concerns among providers that they wouldn't be paid if they made minor mistakes trying to implement the new complex [...]

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 Health. However, as many as 20 to 25 companies reportedly have closed, remaining providers say. The Garden State costs Medicare more than any other state for [...]

Government Recovers $3.3 billion in Fiscal 2014 Federal Health Program Fraud

By |2020-04-13T06:44:24+00:00March 19th, 2015|

WASHINGTON--The government recovered $3.3 billion in fiscal 2014 from individuals and companies that tried to defraud federal health programs, part of an effort by the Obama administration to improve enforcement and prevent abusive billing practices. The administration recovered $7.70 for every dollar spent investigating health-care-related fraud and abuse in the past three years, according to [...]

Is Physician Fear of ICD-10 Turning Them Off Preparation?

By |2020-04-13T06:29:34+00:00January 18th, 2015|

This article by EHR Intelligence points out theat there are a lot of reasons for healthcare professionals to dislike the notion of ICD-10. Further, recent surveys point out that although physicians may be jittery about the unknowns of ICD-10, they aren’t necessarily being proactive about addressing them. ICD-10 will require effort, but the industry has been [...]

New Medicare Rules Aim to Reduce Suspicious Billing Abuse

By |2020-04-13T06:58:43+00:00December 6th, 2014|

Announced in the Wall Street Journal on Dec 3, 2014, the Obama administration has strengthened Medicare’s authority to kick doctors and other medical providers out of the federal program for abusively billing the government. Here's a quick summary of the key points / changes in this important federal program: move represents a significant shift in [...]