Charity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.
A recent report by the Department of Health and Human Services Office of Inspector General shines a light on significant billing issues for neurostimulator implantation surgeries. READ MORE
When you receive an overpayment demand letter from Medicare and disagree with the decision, there are two options for how to respond. You can submit either a rebuttal or an appeal. Your rebuttal and appeal rights will be clearly listed on the demand letter. READ MORE
Emergency physicians who initiate and coordinate opioid treatment in the ED for Indiana Medicaid patients can begin billing for the service in July. READ MORE
Among the lesser known provisions of the No Surprises Act are those that seek to improve the accuracy of in-network provider directories maintained by insurance plans. While more complete rulemaking to address provider directories is expected later in 2022, the No Surprises Act laid out the general groundwork for both payers and providers to tackle the problem of out-of-date and inaccurate directories. The law also includes some protection for patients who rely on bad information in a directory and end up with a surprise out-of-network bill. READ MORE
The CDC and CMS published a new Chronic Pain Experience Journey Map to highlight significant barriers to care for those experiencing chronic pain, as the CDC announces a new record for drug overdose deaths in the US in 2021. In this post, we explore how the two are connected. READ MORE
Providers who received more than $10,000 from the COVID-19 Provider Relief Fund between July 1, 2020, and December 31, 2020, and have not reported on the use of those funds may qualify for a reporting extension. READ MORE
For the fourth performance year in a row, the Centers for Medicare and Medicaid Services is making adjustments to the MIPS program as a result of the COVID-19 public health emergency. READ MORE
The Department of Health and Human Services has filed an appeal of the February ruling striking down the presumptive QPA policy in the independent dispute resolution process of the No Surprises Act. Several other lawsuits over the policy also are pending. READ MORE
Patients who accumulate medical debt are getting some relief from credit reporting changes and a new four-point plan laid out by the Biden administration. Meanwhile, providers, whose bills patients are struggling to pay, are pursing more creative and patient-friendly ways to collect those balances. READ MORE
New Medicare local coverage determinations may hinder the ability to be paid for anesthesia services during Epidural Steroid Injections for pain management. The LCDs for several Medicare Administrative Contractors went into effect in late 2021, and others are being rolled out in 2022.
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