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 [...]
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 [...]
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 [...]
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, [...]
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, [...]
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 [...]
In another instance of false claims to Medicare and Medicaid programs, Josh J. Minkler, United States Attorney, announced today a $20,324,902.22 civil settlement with Community Health Network (ACHN), a non-profit health [...]
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 [...]
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 [...]
For information related the the New "X" Modifiers and Impact to UnitedHealthcare Commercial Reimbursement Policies, please see the January UnitedHealthcare Jan 2015 Network Bulletin.
