Tag Archive | "Medicare"

CMS Spring News: Check Out Special Enrollment Periods, QPP Resources, and Quarterly Updates

Monday, February 12, 2018

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How are you doing this February? I’m looking at some snow, myself. But these three news pieces from CMS show that spring is right around the corner. Don’t miss these deadlines on MIPS suggestions, special enrollment, and HCPCS Q2 implementation. 1. By March 1: Make Your Voice Heard on MIPS If you’ve got suggestions for […]

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3 Smart Ways to Prep for New Medicare Cards

Friday, February 9, 2018

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To comply with MACRA, CMS is removing social security numbers from Medicare cards. The goal is to help prevent identity theft. Here are three ways you can prepare for this big change. 1. Familiarize Yourself With the New Look The look of the new cards won’t be a drastic change from the old ones. They’re […]

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$36.2 Billion in Improper Payments Means CMS Will Watch These Areas

Monday, February 5, 2018

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A 90.5 percent accuracy rate for Medicare Fee-for-Service (FFS) payments may not sound too bad, but consider that the 9.5 percent improper payment rate adds up to $36.2 billion! That’s the news from the 2017 Medicare Fee-for-Service Supplemental Improper Payment Data report based on Comprehensive Error Rate Testing (CERT). Smart move: Reviewing CERT results can […]

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CMS Says No to Texting Orders (What Emoji Would That Be, Anyway?)

Wednesday, January 31, 2018

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If providers want official proof they shouldn’t be texting orders, direct them to a recent memo from CMS, “Texting of Patient Information Among Healthcare Providers.” Memo summary: Nope. Just don’t do it. Don’t text orders. And if you’re going to text other members of the healthcare team about patients, keep security in mind. Here’s Why […]

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Did You Catch It? New Year, New Look for CLFS

Wednesday, January 17, 2018

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Your 2018 preparations for lab coding aren’t complete if you haven’t looked into the changes to the Clinical Laboratory Fee Schedule (CLFS). Here are some hints from Pathology/Lab Coder to point you in the right direction. Get an Overview of the CLFS Makeover The 2018 CLFS brought a major overhaul to payment for lab testing. […]

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We’ve Wrapped Up 4 Medicare PET Coding and Coverage Resources for You!

Thursday, December 21, 2017

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CMS keeps a close eye on PET imaging, and that means you need to, too. Make sure you’re using all of these resources so you understand coding and coverage for this high-tech imaging option. 1. Know Where to Find NCD Details Medicare has a National Coverage Determination (NCD) for PET scans, with specifics for everything […]

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Don’t Get Too Comfortable With That Meaningful Use Payment – Here’s Why

Tuesday, June 20, 2017

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When the title of an OIG report is about Medicare paying out hundreds of millions it shouldn’t have, that’s not great news for Medicare or the providers who got those funds. But that’s exactly what a report released June 12, 2017, says: “Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did […]

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3 Things You Can Do Today to Prepare for a RAC Audit

Wednesday, June 7, 2017

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What’s the first think you think of when you hear Recovery Audit Contractor? RACs have been around for a while (and not without controversy) as part of a Medicare program to find and correct past improper payments. Even folks who don’t get nervous at the thought of an audit probably don’t look forward to the […]

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60 Days & 6 Years: The Numbers to Know to Comply With Medicare’s Overpayment Rule

Tuesday, April 4, 2017

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You get a fairly clear picture of what this rule is about from its name: Medicare Reporting and Returning of Self-Identified Overpayments. If you discover Medicare gave you too much money, you have to give it back. But there are some layers here, so let’s dig in for a refresher on some of the more […]

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

Friday, February 3, 2017

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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 […]

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