CMS Finalizes Its 60-Day Overpayment Rule
Earlier this month, the Centers for Medicare and Medicaid Services finalized its 60-Day Overpayment Rule after several changes to the proposed guidelines. READ MORE
CMS Strengthens Provider and Supplier Enrollment Screening
Using several new strategies, including tools provided by the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) is strengthening its screening process for providers and suppliers enrolling in the Medicare program. READ MORE
Using National Medicare E&M Utilization Data to Drive Coding and Documentation Audits
In emergency medicine billing, evaluation and management (E&M) services are the primary source of revenue. Use the Medicare E&M utilization national averages as a place to start when conducting internal coding audits, particularly for providers or locations that are outliers. READ MORE
ACEPs Qualified Clinical Data Registry Adds New Measures for 2016
The Clinical Emergency Data Registry (CEDR) has added four new PQRS measures and 22 new CEDR-specific measures for individuals and groups using their registry to report in the 2016 Physician Quality Reporting System (PQRS). READ MORE
Accessing Individual Health Information under HIPAA
Giving individuals the right to access and receive a copy of their health information is one of the basic tenets of the HIPAA Privacy Rule. The Office for Civil Rights has issued new guidelines for how providers must respond to patient requests for health information. READ MORE
PECOS Primer: Medicare Enrollment Made Simple
In December 2015, Medicare updated their PECOS Frequently Asked Questions Fact Sheet to help make the Medicare enrollment process more transparent for providers. Whether you already are a PECOS user or are wondering why you should be, here are a few other things to know about PECOS. READ MORE
Use Examples to Assign ASA Physical Status
For anesthesiologists, assigning the physical status of the patient is an important indicator for patient care as well as for correct coding and billing. Researchers have found that using ASA’s published examples makes physicians’ selections more consistent. READ MORE
