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After years of resistance, CMS is working on a plan to negotiate Part B drug prices, predicting large savings for its programs and patients as a result. The plan would also increase provider reimbursement on those drugs to make up for sequestration cuts.

We talked to an occupational therapist and practice expert about how to succeed at patient and provider outreach in the therapy world.
It may sound counterintuitive, but two patients who are attributed the same diagnosis during a patient encounter can have wildly divergent risk-adjustment coding scores.
When coding under a risk-adjustment paradigm, capturing the full range of a patient’s chronic conditions takes on elevated importance. That’s because your payments, and ultimately your coding compliance, may be impacted.
Kayla Lee, CPC, kicked off her session on radiofrequency ablation at the Advanced Specialty Coding, Compliance and Reimbursement Symposium with a trivia question.


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