Archive | Health Law and Policy RSS feed for this section

Translate HIMSS17 Tips Into Career Advice for 2017

24. February 2017

0 Comments

This past week, two of our newsletter editors from The Coding Institute attended health IT conference HIMSS17 and Tweeted highlights from sessions. One point that came through loud and clear is that no matter what job you have in healthcare, data connections are so intertwined you have to expand your thinking beyond your own department. […]

Continue reading...

Haven’t Started MACRA QPP Prep? There’s Still Time!

3. February 2017

0 Comments

Groundhog Day has come and gone, and Punxsutawney Phil has declared six more weeks of winter. That gives you plenty of inside time to focus on getting up to speed on MACRA so you can participate in 2017. Remember: With CMS’s Pick Your Pace approach to the Merit-based Incentive Payment System (MIPS), it’s OK if […]

Continue reading...

What You Need to Know About the 2017 OIG Work Plan

13. January 2017

0 Comments

The 2017 HHS OIG Work Plan is out, revealing what’s in the crosshairs for special scrutiny. There’s a good chance there’s something in its 101 pages that affects you. Make sure your team’s work is up to scratch on these topics listed in the Medicare Parts A and B/Other Providers & Suppliers section of the […]

Continue reading...

What Do the AMA and ACP Say About ACA Repeal?

10. January 2017

0 Comments

The president-elect ran on a platform of repealing the Affordable Care Act (ACA). What will actually happen is still up in the air. The American Medical Association (AMA) and American College of Physicians (ACP) have both recently posted letters to congressional leadership about healthcare system reform. Below is a summary of each letter. From the […]

Continue reading...

5 Fast Facts From the 2017 MPFS Final Rule

9. December 2016

0 Comments

Digesting the hundreds of pages in the MPFS 2017 Final Rule is best done in small bites. Here are five tidbits to get you started. 1. The Conversion Factor Goes Up a Little The 2017 conversion factor is just a bit bigger than the 2016 conversion factor: 2016: 35.8043 2017: 35.8887. Read about it: You’ll […]

Continue reading...

The Quick, CMS-Approved Way to Avoid a MACRA Penalty

29. November 2016

0 Comments

If you’ve been trying to wrap your head around MACRA for a while, you may be at the point where you’re willing to give up hopes of a bonus if you could just be sure you won’t face penalties. Good news: As long as you submit a little something to the Quality Payment Program, you won’t […]

Continue reading...

Here’s What Trump Has Said About Healthcare

14. November 2016

0 Comments

Donald Trump secured the Electoral College votes needed to become the next US president. What could this mean for healthcare? Below is a summary of the Trump campaign’s healthcare position statement . A campaign position statement is just that, of course, and may or may not become reality. But this overview offers a quick look […]

Continue reading...

Disasters Happen: What Does Your Medicare Contractor Want You to Do Next?

21. October 2016

0 Comments

I’m feeling pretty lucky. When Hurricane Matthew blew through my town a couple of weeks ago, the worst I experienced was a three-day power outage and a flooded basement. Plenty of others nearby faced much worse. My town is several hours from the coast, so the degree of destruction took most of us by surprise, […]

Continue reading...

Rule Change: If You’ve Never Reported Moderate Sedation Before, Read This

14. October 2016

17 Comments

It’s time to start adjusting your brain to the new reality about moderate sedation coding. For years, you’ve trained yourself to not report your provider’s moderate sedation separately when CPT® marked the procedure code with a circle with a center dot symbol and listed the code in Appendix G. But the 2017 Medicare Physician Fee […]

Continue reading...

Q&A to Decode the OPPS 2017 Proposed Rule Site Neutral Payments Provision

10. October 2016

1 Comment

Off-campus outpatient departments have an eye on CMS’s Hospital Outpatient Prospective Payment System (OPPS) changes for 2017. You can review highlights of the proposed rule here”, and you’ll see that one of the more interesting proposals has to do with who isn’t invited to the OPPS party under the site neutral payments provision. Section 603 […]

Continue reading...