CMS Seeks Health Equity, Telehealth in Physician Fee Schedule Rule

Published: Wed, 07/14/21

CMS has proposed a new rule that would update the Medicare Physician Fee Schedule and seek more health equity and telehealth utilization among physicians....

3 Effective Ways to Improve Your Medical Claims Processing for Faster Submission

Modern medical billing activities are complex, and it may take months to process a bill. Most issues crop up from internal workflow with demands forced by claims processing sellers as well as external clearinghouses. The overall process needs continuous evaluation...

Condition Code 44: Use Wisely

Utilization review teams and physician advisors have the same goal as the Centers for Medicare & Medicaid Services (CMS): correct status for all patients. But getting a Medicare inpatient into the correct status creates an admin..

CMS and Discharge Planning Conditions of Participation

It has now been over 18 months since the Centers for Medicare & Medicaid Services (CMS) updated the discharge planning conditions of participation, but we still have no interpretive guidelines. I am sure that the pandemic has affected..

OSHA’s COVID-19 Emergency Standard for Healthcare Employers

OSHA has issued an Emergency Temporary Standard (ETS) for occupational exposure to COVID-19 that is applicable only to healthcare employers. The genesis for this ETS came one day after President Biden’s inauguration when, on January...

Is COVID-19 the PDx When Present with COPD Exacerbation?

Recently I was listening to a podcast called Coder vs. CDI by my friend, Allen Frady, and his co-host, Amy Czahor, about how to code mild COVID-19 with other conditions; at one point, Allen mentioned he wanted to hear opinions from doctors. So here’s my opinion...