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03/03/2014

In addition to halting recovery auditor (RAC) audit activity while the new contract bids are sought and contracts awarded, CMS proposed five changes to the rules by which the new RACs will operate. 

03/03/2014

Physicians may have a few ways to get involved in CMS’ end-to-end ICD-10 testing, despite the federal agency’s announcement that it would be open to a “small group” of providers.

03/03/2014

If you’re a financially sound practice accustomed to teamwork and transparency, joining an accountable care organization (ACO) could help your practice provide higher quality care for less money, based on two HHS reports and some ACO managers.

03/03/2014

Review your documentation carefully when physicians prescribe power mobility devices (PMDs) to make sure the required face-to-face visit shows clear medical necessity for the device.

03/03/2014

Before you bill injection code 96372 for an injection that was done by a nurse, make sure that the injection was given under the direct supervision of a provider. If it wasn’t, you can’t support use of that code.

03/03/2014

CMS extends “probe and educate” phase of new hospital two-midnight rule, and more.

03/03/2014

Compare your denial rates for G0372 (Physician service required to establish and document the need for a power mobility device [PMD]) with these specialties that bill the code most often to see whether your claims will draw auditors’ eyes.

02/27/2014
CMS has shared some details during the HIMSS 2014 conference about the recently announced ICD-10 end-to-end testing.
02/24/2014
Highlights from HIMSS include CMS' confirmation that the Oct. 1 transition date to ICD-10 is firm.
02/24/2014
Aligned financial incentives, targeted care for the chronically ill and a 25- to 30-year investment in wellness are part of a health care paradigm shift envisioned by Aetna CEO Mark Bertolini, the first keynote speaker of the HIMSS14 conference.

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