The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2019. In addition to setting the payment rates for 2019, the Final Rule also implements changes to several payment policies. We’ve highlighted a few of the biggest changes. READ MORE
Once again, the American Society of Anesthesiologists has released their annual ASA Commercial Payer Survey results for 2018. Overall, the 2018 national average conversion factor was $76.32, ranging between $73.26 and $81.32 across participating practices’ top five commercial plans. READ MORE
More than two thirds of physicians believe the maintenance of certification process adds no clinical value to their practice. While many certifying boards have responded to pressure by making changes, some states are also addressing the issue through anti-MOC legislation. READ MORE
An 85 percent increase per member in emergency department spending between 2009 and 2015 was the result of hospitals coding and billing for a greater number of high severity cases, according to a 2017 Health Care Cost Institute study. But what does this upward shift in evaluation and management levels say about what’s happening in the ED? READ MORE
Indiana physician practices have just over two weeks to report and relinquish unclaimed property to meet the November 1, 2018, deadline. READ MORE
While the number of surgeries continues to increase annually in the US, and particularly the number of surgeries performed in ambulatory surgical centers, researchers have uncovered a lack of consensus about which patients *should* be treated in the ASC. READ MORE
The Centers for Medicare and Medicaid Services has identified errors in the way some 2019 MIPS payment adjustments were calculated. READ MORE
Earlier this month, a bipartisan group of Senators announced draft legislation that would address the issue of surprise bills for patients seen by out-of-network medical providers. READ MORE
According to an August announcement, critical care services billed to Medicare are on the radar of the Office of Inspector General for review beginning in 2019. READ MORE
Everyone involved in the revenue cycle, from providers to follow-up team members, needs to be aware of payer timely filing limits and what they can do to help meet them. READ MORE
