A new HCPCS Level II code lets you report the Sinuva^TM implant for nasal polyps, but coding for placement may vary based on the encounter. Medicare Administrative Contractor (MAC) National Government Services has some advice for its providers. Here’s what you need to know if you perform coding for otolaryngology.

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to investigate the underlying cause of electronic cigarette/vaping-associated lung injury (EVALI). In order to assist public health response in recognizing and treating EVALI, the CDC and...

Becker's Hospital Review reported on the following payment model updates from CMS or HHS in October...

Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply means that your doctor is providing an account of your visit in your medical record. However, documentation and coding can affect revenue, quality of care, and possibly expose clinicians to legal consequences.

Providers should keep in mind that such policies aren’t binding – but can offer valuable direction. Imagine your Medicare Administrative Contractor (MAC) had a policy detailing their coverage of records documented by a scribe.

Securing successful contracts with payers is becoming increasingly important for ASCs as they move toward negotiating value-based contracts.

Lisa Davis, administrator at The Center for Minimally Invasive Spine in Munster, Ind.; Scott Allen, vice president of managed care contracting at National Medical Billing Services; Heather ...

In light of new value-based care models and creative partnerships between providers, CMS is ditching its pay-and-chase approach to reducing Medicare fraud, waste, and abuse and implementing a new five-pillar approach based on prevention and technology. In a new CMS blogpost, the agency’s administrator Seema Verma detailed the new approach to reducing Medicare fraud, waste, and abuse, which includes:

In an effort to help broaden the ways in which social determinants of health can inform clinical decision making, eHealth Initiative & Foundation has recently released some new tools to promote the use of ICD-10-CM codes to capture SDOH data in the electronic health record.