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Everything You Ever Wanted to Know About the Global Surgical Package: Coding and Billing for the GSP

by Mary Pat Whaley | Mar 20, 2012 | Collections, Billing & Coding, Compliance, Medicare & Reimbursement

If you do the professional fee (pro-fee) coding or billing for surgeries, you know that the rules surrounding the Global Surgical Package (GSP) are many and can be complex. CMS just published a new fact sheet on the GSP and it’s a great recap for coders and...

CMS Extends Delay for 5010 Enforcement to June 30, 2012

by Mary Pat Whaley | Mar 15, 2012 | Collections, Billing & Coding, Medicare & Reimbursement

The Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) is announcing that it will not initiate enforcement action for an additional three (3) months, through June 30, 2012, against any covered entity that is required to...

Medicare News for the Week of February 13, 2012: PQRS, eRX and EHR, EHR and EHR

by Mary Pat Whaley | Feb 12, 2012 | Electronic Medical Records, Headlines, Medicare & Reimbursement, Medicare This Week

(PQRS) AM News Reports 2012 Last Year for Physicians to Voluntarily Report Quality Data (jump to story) (PQRS & eRX) National Provider Call: Claims-Based Reporting for the Physician Quality Reporting System & Electronic Prescribing Incentive Program (jump to...

CMS Will Hold January Claims for 10 Business Days in Hopes That the SGR Cut Will Be Delayed Before Payouts Begin

by Mary Pat Whaley | Dec 19, 2011 | Headlines, Medicare & Reimbursement

Everyone knows what a mess we’ve had in the past when CMS has had to pay according to the SGR, then it was reversed at the last minute and CMS had to pay additional amounts on services they had considered paid in full – a headache no matter how good your...

Stark, False Claims and Anti-Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare

by Abraham Whaley | Nov 20, 2011 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, General

In health care, we are “blessed” with an abundance of rules, policies, standards and laws. In Health Care Regulation in America: Complexity, Confrontation, and Compromise, Robert I. Field, professor of health management and policy at Drexel University...
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