CMS Discovers Errors in Some 2019 MIPS Payment Calculations
The Centers for Medicare and Medicaid Services has identified errors in the way some 2019 MIPS payment adjustments were calculated. READ MORE
Bipartisan Senate Group Addresses Surprise Bills in Draft Legislation
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
OIG Turns Attention Toward Critical Care Billing
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
Stay Up-to-Date on Timely Filing Limits at Every Point in the Revenue Cycle
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
Billing Guidelines Vary for Anesthesia During Screening Colonoscopies
Anesthesiologists who bill for anesthesia services during screening colonoscopies should be aware of required coding differences among various government and commercial payers. READ MORE
When Is a Due Date Not Really a Due Date? Reviewing Indiana Medicaid Revalidations
Indiana Medicaid recently published a new list of providers who must revalidate their enrollment by the published due date. However, to ensure the revalidation is processed correctly, providers really should submit their revalidation application at least 30 days before the due date, says CIPROMS’ Denise O’Brien. READ MORE
Indiana Medicaid MCEs also Fully Enrolling All PAs, Reimbursing at 75%
Beginning September 1, 2018, all physician assistants must now enroll both with Indiana Medicaid and all Indiana Medicaid Managed Care Entities and can no longer be billed under a supervising physician’s NPI. READ MORE
Patient Balances after Insurance, Uninsured Rate Continue to Rise; Patient Billing More Complex Than Ever
Patient balances after insurance grew 67 percent from 2012 to 2017, and the uninsured rate of working adults ages 19 to 64 also rose 3.3 percent in 2018, making patient collections more challenging than ever. READ MORE
2019 Proposed Medicare Fee Schedule: What Emergency Physicians Need to Know
The Centers for Medicare and Medicaid Services (CMS) recently published the proposed Medicare Physician Fee Schedule for 2019. Here’s what emergency physicians need to know. READ MORE
Indiana Medicaid Now Fully Enrolling All PAs Beginning September 1, 2018
Beginning September 1, 2018, all physician assistants (PAs) must now enroll as Indiana Medicaid Providers and can no longer be billed under a supervising physician’s NPI. The new effective date was announced by IHCP earlier this week. READ MORE
