Blog

What the New "Doc Fix" Bill Will Mean for Your Practice

Posted Apr 22, 2015

ID-10022490While not the first time Medicare funding has undergone revision, (and likely not the last), the "Doc Fix" bill seeks to fix a long term problem with the system.  This bipartisan effort is focused on establishing more realistic funding and for Medicare, affecting both patient care and physician reimbursement.  This bill is considered a long-term fix, and not the more commonly used patch method to secure funding.

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Health Information Services Health-Insurance Practice Management

CMS Delays Final Ruling on Medicare Overpayments - What Could It Mean for Your RCM Payment Program?

Posted Apr 9, 2015

ID-10096057In 2012, Centers for Medicare and Medicaid Services (CMS) published a rule that would require providers to report and refund any overpayments within 60 days from the date the overpayment was found.  As an orthopedic provider, you have probably received some of these notices from Medicare.  However, due to the amount of comments and extensive discussion around the issue, CMS has delayed its final ruling on the 60-Day Overpayment policy.  Of particular concern has been the provision that this requirement could include audits going back as much as ten years.  So what does this mean for your office?  Read on.

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Health Information Services Medical Coding Healthcare Organizations

What you need to know: CMS to shorten 2015 attestation reporting period

Posted Mar 31, 2015

Reporting_Blog_HISBy now, you and your staff are probably quite familiar with the concepts and regulations of "meaningful use" (MU) of electronic health record (EHR) technology which has to be demonstrated in order for hospitals and eligible providers (EPs) to receive the incentive payments from the Centers for Medicare and Medicaid Services (CMS). You are probably also fully aware that there are specific criteria that has to be met and "attested" to in order to document that "meaningful use" has been achieved.

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Health Information Services Medical Coding Healthcare Organizations

Converting your Top Ortho ICD9 Codes to ICD10

There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.

2015 CPT Coding Changes and how it can affect your radiology practice.

Posted Mar 14, 2015

data_pic2015 CPT coding changes that are taking effect will mostly cause issues with billings, and denials of billings that are not coded correctly according to the new Coding Rules. In the radiology practice there are not an extraordinary number of changes, but they are important to ensure proper payments. Radiology practices must train not only their billing staff in the new coding procedures, but everyone involved in reporting procedures need to know how to document what treatments were given to ensure that proper codes are used in records and for billing.

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Health Information Services Medical Coding Billing & Reimbursement

PQRS Penalties in 2015

Posted Feb 26, 2015

2015_PQRS_PenaltiesOrthopedic providers may be subject to a reimbursement penalty on all claims submitted to Medicare for 2015. If you are an eligible professional (EP) that participates in the Physician Quality Reporting System (PQRS)  or a group practice participating in the Group Practice Reporting Option (GPRO), then you’re in danger of receiving a negative payment adjustment (penalty) of 1.5% on all covered services rendered this year. The 1.5% is to be deducted from the normal Medicare Physician Fee Schedule (MPFS) for services provided. Keep reading to find out if your practice will be affected by the adjustment.

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PQRS Health Information Services Orthopedics Practice Management Billing & Reimbursement