by Mary Pat Whaley | Apr 20, 2015 | Medicare & Reimbursement, Medicare This Week
Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide care to their patients. It allows consumers to select multiple hospitals and directly compare performance measure information related to heart attack, heart...
by Mary Pat Whaley | Apr 13, 2015 | Compliance, Electronic Medical Records, Medicare & Reimbursement, Medicare This Week
Last week, CMS published a new proposed rule for Meaningful (MU). This rule strives to “…align Meaningful Use (MU) Stage 1 and Stage 2 objectives and measures with the long-term proposals for Stage...
by Mary Pat Whaley | Jul 21, 2013 | Collections, Billing & Coding, Compliance, General, Medical Coding Education, Medicare & Reimbursement, Medicare This Week
Medicare recently started denying an increased number of claims because documentation submitted for diagnostic tests does not include signed test orders or evidence of intent (MD progress notes listing tests needed) and evidence of medical necessity...
by Mary Pat Whaley | Apr 11, 2013 | Collections, Billing & Coding, Medicare & Reimbursement, Medicare This Week
CMS has clarified the Place of Service (POS) codes that Physicians/Providers are to use on claims for services to patients starting April 1, 2013. This is more than a simple technical requirement, however. The correct place of service is directly tied to how much a...
by Mary Pat Whaley | Mar 10, 2013 | Collections, Billing & Coding, Day-to-Day Operations, Medical Coding Education, Medicare & Reimbursement, Medicare This Week
Effective January 1, 2013, Medicare and other payers will pay for two new CPT codes (99495 and 99496) that are used to report physician or qualifying non-physician practitioner transitional care management (TCM) service for patients, following a discharge from a:...
by Mary Pat Whaley | Feb 20, 2013 | Amazing Customer Service, Collections, Billing & Coding, Compliance, Day-to-Day Operations, Medicare & Reimbursement, Medicare This Week
When I come across a product or a service that I think is interesting, I want to write about it. When I connected recently with VibrantUSA, I found a service I never knew existed – an insurance broker specializing in Medicare plans! Here’s my interview...