Hospitals Likely to Face Discharge Difficulties from CMS Policy

Published: Thu, 11/14/19

As hospitals prepare to implement the Centers for Medicare & Medicaid Services (CMS) Discharge Planning Conditions of Participation Final Rule, they’re likely to be thrown off some by IMPACT: Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014.

VA, CMS Share Provider Enrollment Data to Combat Healthcare Fraud

CMS and the Department of Veterans Affairs (VA) recently announced a new data sharing initiative in which the departments will share provider enrollment data to prevent healthcare fraud, waste, and abuse.

Company Owner Goes To Jail For Medicaid Fraud

The owner of a transportation company has pleaded guilty to fraudulently billing millions in false claims to the state’s Medicaid Program (MassHealth), Attorney General Maura Healey announced today.

The Train Has Left the Station: ICD-11 on its Way

ICD10monitor and Talk Ten Tuesdays are launching a new series today, which will continue through November, focusing on the need for early preparation for the new ICD-11 code set that most expect will be ready for the U.S. implementation in 2022.

3 Data Analytics that Should Always Be Included in Your Medical Billing Report

Medical billing reports are important in evaluating the efficiency of your practice. Thus, reports should show the performance of your organization in full details. This will greatly help in improving your revenue cycle. Some of the questions reports should be able to answer include:

How Do You Code Sinuva Placement for NGS Medicare? Find Out Here

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.

News Alert: CDC and FDA Issue Framework to Aid Clinicians for Treating Vaping

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...

4 CMS payment model updates

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

Physician Documentation And Coding: The Third Rail?

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.