Article By Heidi Stout, CPC, COSC, CCS-P In an effort to reduce inappropriate claim payments due to incorrect use of modifier 59, The Centers for Medicare and Medicaid Services (CMS) [...]
CMS is establishing four new HCPCS modifiers to define subsets ofthe - 59 modifier, a modifier used to define a "Distinct Procedural Service." EFFECTIVE DATE: January 1, 2015 Unless otherwise specified, [...]
The AMA states that there are over 500 changes to the 2015 CPT code system. This pace of change is another reason why your practice may need professional coding assistance. [...]
In this article by REED ABELSON and ERIC LICHTBLAU at the NEW YORK TIMES, Medicare says its new high tech predictive analytics system “is successfully doing its job of pointing the spotlight [...]
Posted: 16 Jun 2014 12:58 PM PDT In May of 2014, the Office of the Inspector General (OIG) released a report detailing its findings regarding Medicare payments for evaluation and [...]
Heidi Stout, CPC, COSC, CCS-P Heidi Stout has over 30 years experience in orthopaedic coding. She is the director of the orthopaedic surgery division for The Coding Network, LLC, and [...]
A tiny sliver of doctors and other medical providers, including one physician who billed more than $20 million alone, accounted for an outsize portion of Medicare's 2012 costs. WSJ's Christopher [...]
Even if you've been filing Medicare claim form 1500 for years, effective April 1, 2014 your process is about to change. This is the date that CMS' new 2/12 1500 [...]
By Joseph Conn - HIMSS Providers, payers and claims clearinghouses can look for no relief from the looming, Oct. 1 compliance deadline for the nationwide conversion to the ICD-10 family [...]
In this article by AACP author Michael Stearns, MD, CPC, CFPC, suggests that organizations should take the time to thoroughly understand and customize your EHR. Most electronic health record (EHR) systems include [...]
