HHS: Healthcare Cybersecurity In ‘Critical’ Condition By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement The nation’s healthcare provider organizations are at greater risk of cybersecurity breaches than any other type of organization, according to a highly-anticipated HHS report on the state of cybersecurity across the industry. Entitled “Report on Improving Cybersecurity in...
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Congress Could Delay Radiography Cuts By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement CMS began cutting the payments you receive for taking X-ray scans using analog equipment on Jan. 1 of this year. The move is intended to gradually prod providers into investing in more advanced X-ray equipment known as digital radiography...
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CMS Expands List Of Providers Exempt From MIPS By Grant Huang, CPC CPMA, Director of Content at DoctorsMangement A total of 806,879 providers are now exempt from having to participate in the Merit-based Incentive Payment System (MIPS), according to the latest CMS calculations of their Medicare Part B charges. These charges are used to...
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Practices Gear Up For 90 Days Of MIPS Reporting By Grant Huang, CPC CPMA, Director of Content at DoctorsMangement Halfway through the first reporting year for the Merit-based Incentive Payment System (MIPS), some practices are only doing the bare minimum reporting to avoid a 2019 Medicare pay cut. But other groups, particularly larger groups,...
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How To Properly Apply 5 Key Global Period Modifiers By Grant Huang, CPC, CPMA ,Director of Content at DoctorsManagement. CMS wants to eventually eliminate the global surgical package, but for now your physicians, coders, and billers must still comply with all of the bundling rules and modifier headaches that come with it. To help you...
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New In 2017: Modifier 95 And Telemedicine Codes There’s a new modifier for telehealth services rendered to patients who are on private insurance rather than Medicare. Modifier 95 (synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system) can be appended to E/M visit codes (99201-99205 for new patients, 99211-99215 for established...
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9 Top OIG Physician Audit Targets In 2017 By Grant Huang, CPC, CPMA ,Director of Content at DoctorsManagement. Next year, you’ll need to pay particular attention to your Medicare meaningful use attestation data, your providers’ Medicare credentialing, compliance with the “two-midnight” rule, and more, according to an analysis of the 2017 HHS Office of Inspector...
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5 Tips For Billing E/M Visits With Same-Day Endoscopies By Scott Kraft, CPC, CPMA, Auditor and Consultant at DoctorsManagement. We often see the routine, casual use of modifiers with E/M codes on a claim that already contains a procedure code on the same date. Among the most common of in-office procedures are endoscopies, particularly though...
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Documenting History: Squaring Clinician And Auditor Perspectives When evaluating medical record documentation to identify specific elements of history including the history of present illness (HPI) and the review of systems (ROS), auditors frequently rely on an audit tool or form to “check off” specific elements as they are identified in the record. They are then...
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Q&A: CMS Clarifies Meaningful Use Hardship Application Process You have until March 15 to submit your application for a hardship exemption from Medicare’s EHR meaningful use payment penalties, and it’s important to understand the recently revised application process. Many practices were confused about having no obvious option on the hardship application form to choose if...
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