The Total Knee Arthroplasty Controversy Gets (Even More) Confusing

Published: Tue, 11/20/18

By this time last year, the Centers for Medicare & Medicaid Services (CMS) had notified providers that they were removing total knee arthroplasty (TKA) from the Medicare inpatient-only list. While the cries of disbelief and howls of frustration eventually died down after a few months, the remainder of 2018...

2019 ICD-10-CM Coding for Diabetes

November is National Diabetes Month, as well as Diabetic Eye Disease Awareness Month. Are you aware that diabetes is the leading cause of blindness among the working people of the United States? The 2019 ICD-10-CM Official Coding Guidelines state that if a type of diabetes is not...

CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds

CMS did not have adequate procedures to ensure that hospitals did not count residents as more than one FTE when claiming GME Medicare reimbursement, audits showed.

Highlights of the Medicare Physician Fee Schedule Final Rule

There will be no change in E&M payment levels for 2019, as was proposed in the CMS proposed, rule, news that comes as a relief to many that expected to lose valuable...

Digesting the Medicare Physician Fee Schedule for 2019

The Centers for Medicare & Medicaid Services (CMS) final rule includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (MPFS) on or after Jan. 1, 2019. CMS has finalized a number of documentation, coding, and payment...