Earlier this year, the Department of Health and Human Services announced its proposed rule to implement the Affordable Care Act provision that Medicaid reimburse primary care providers at the same rate as Medicare. On November 1, 2012, CMS issued a final rule to implement this increased payment for calendar years 2013 and 2014. Effective January […]
CMS Final Rule: Increased Medicaid Payment Rates for Primary Care Read More »
On Friday, August 24, 2012, it was announced by HHS Secretary Kathleen Sebelius that the new compliance date for ICD-10 is October 1, 2014. This announcement comes after HHS announced in April 2012 that the original October 1, 2013 deadline would be pushed back, but no final replacement date had been established until today. The final rule will
Medical Billing Newsflash: CMS Finalizes ICD-10 Date 10.14.2012 Read More »
Yesterday, August 23, 2012, it was announced that the Centers for Medicare & Medicaid Services (CMS) released the final rule for Stage 2 of the Medicare Electronic Health Record (EHR) Meaningful Use Incentive Programs. U.S. Secretary Sebelius states, “The changes we are announcing today will lead to more coordination of patient care, reduced medical errors,
CMS Released the Final Rule for Stage 2 Meaningful Use Read More »
ICD-9 diagnosis codes that begin with an “E” indicate the external causes of injuries and poisonings, as well as the adverse effects of drugs and substances. For example, E905.3 is used to report a hornet/wasp/bee sting; E880.0 for a fall from stairs or escalator; E851 for accidental poisoning by barbiturates. E codes are meant to
Medical Billing & Coding Reminder: “E” Codes Cannot Be Primary Dx Read More »
May 23, 2012 June 30, 2012 is the deadline for physicians to report on at least 10 electronic scripts in order to avoid Medicare’s e-prescribing program penalty. If a physician does not successfully report the production of 10 electronic scripts between January 1, 2012 – June 30, 2012, Medicare will apply a 1.5% payment reduction
April 19, 2012 The Centers for Medicaid & Medicare (CMS) recently released an MLN Matters Article that highlights the Medicare Secondary Payer (MSP) rules. These rules delineate the circumstances in which Medicare will only make payment after another insurance carrier issues the primary payment. All too frequently, physicians and their billing companies will receive denials from Medicare
Reminder to Physicians & Billing Companies: Verify Patient’s Coordination of Benefits! Read More »
