CMS's Final Rule on Medicaid Managed Care

Published: Fri, 06/10/16

CMS's Final Rule on Medicaid Managed Care

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued final regulations that revise and significantly strengthen existing Medicaid managed care rules. Here is a summary of the changes...
 
Texas Lawmakers Study Regulations on Surprise Medical Bills

Even though they may have health insurance, growing numbers of Texas consumers are getting unexpected bills from doctors not in the consumers’ health care network.
 
2017 IPPS: Coding Changes Ahead

The proposed Inpatient Prospective Payment System (IPPS) rule changes proposed for the 2017 fiscal year were released on April 18. In reviewing the changes outlined in the 1,585-page rule, it became clear that there were a few practice areas that will be particularly impacted
 
How To Bill And Code Transitional Care Management The Right Way

Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing the codes when all of the other criteria are met?
 
CMS Releases 2017 ICD-10-PCS Codes

The Centers for Medicare and Medicaid Services (CMS) released the 2017 ICD-10-PCS codes as well as other supporting documentation on Thursday....