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As compliance costs mount, take advantage of 4 tips for better MIPS reporting

08/21/2017

A new survey shows practices spending thousands of dollars on their merit-based incentive payment system (MIPS) compliance, but you can cut costs with some pre-planning on reporting method and records prep.

CMS rolls back joint replacement program, jettisons planned episode payment models

08/21/2017

by: Laura Evans, CPC

CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedic conditions that were due to begin in January, according to a proposed rule issued Aug. 15.

Watch billing-period rules for new flu vaccine debuting this year

08/21/2017

by: Richard Scott

Take note of a new flu vaccine that’s emerging for the upcoming season and be careful of the fluctuating billing requirements — they’re on track to shift midway through the 2017-2018 flu season.

Watch your enrollment ownership reports as CMS hints at enforcement

08/21/2017

by: Roy Edroso

Check your provider enrollment information to make sure your practice owners are correct or risk revocation of your billing privileges as the Office of Inspector General (OIG) gets tough on enforcement.

Take 6 steps to deal with fallout of eClinicalWorks’ fraud settlement

08/21/2017

by: Marla Durben Hirsch

eClinicalWorks is the first electronic health record (EHR) vendor to get into legal trouble for falsifying certification compliance, but it won’t be the last. The HHS Office of the National Coordinator for Health IT (ONC), the agency in charge of EHR certification, will likely take an increased interest in whether EHR products meet the requirements or should be decertified.

Avoid denials: Don’t bill prolonged services with a nursing home encounter

08/21/2017

by: Richard Scott

Question: Prolonged service code 99358 (Prolonged evaluation and management service before and/or after direct patient care; first hour) is now bundled into all the nursing facility codes (99304-99318). This doesn't make sense to me. Anybody know why?

Cardio, pulmonary docs among specialists who frequently report flu vaccines

08/21/2017

by: Richard Scott

As a new flu vaccine debuts in 2017, the vaccine’s billing rules hold cross-specialty appeal because primary care providers are not the only ones to report flu claims.

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