surveyThe Workgroup for Electronic Data Interchange (WEDI), announced the release of its latest (and likely last) ICD-10 readiness survey. The survey is designed to help determine how well the healthcare industry is progressing towards the Oct. 1, 2015 implementation deadline.

Certificate of CompletionThere are two primary reasons a claim doesn’t result in a payment. Either the payor doesn’t receive the claim, or the payer denies payment due to a defect in the claim--such as incomplete or incorrect data, or lack of documentation supporting the services billed.

CMSCMS has released the results from its second round of Medicare fee-for-service ICD-10 end-to-end testing week. Testing demonstrated that CMS is ready to accept ICD-10 claims. Below are some of the key highlights from the testing period.

Doctor with MoneyAs part of the Administration’s efforts to promote better care, smarter spending, and healthier people, CMS has posted the third annual release of the Medicare hospital utilization and payment data (both inpatient and outpatient) and the second annual release of the physician and other supplier utilization and payment data.

CMSAs discussed in a previous post, CMS released a Medicaid managed care proposed rule which aims to increase the uniformity of requirements applicable to Medicaid managed care plans and align managed care standards with those of the private market.

OIGThe Department of Health and Human Services’ Office of Inspector General (OIG) released a report on May 8 that found Medicare contractors potentially overpaid physicians by approximately $33.4 M for services performed between January 2010 and September 2012 due to incorrect coding.

Doctor with MoneyManaging your practice’s revenue cycle can be one of the most time-consuming and complex parts of running your business. If you are spending more time managing revenue then you are managing your patient’s health, it’s time to engage with a revenue cycle management company.

2015 PQRSAccording to a bulletin issued by CMS, groups have 4 weeks left to register to participate in the 2015 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) via the Physician Value - Physician Quality Reporting System (PV-PQRS) Registration System.

CMSOn Tuesday, May 26, 2015,  CMS unveiled a new proposal, which aims to create more standardized practices across states and align managed care standards with those of the private market. The proposed rule would be the first update to Medicaid managed care rules in more than a decade.

AMA LogoCPT® is an acronym for Current Procedure Terminology, a code set developed in 1966 that describes medical, surgical and diagnostic services performed by physicians and other qualified health care professionals. AMA owns the copyright for CPT®, and the code set is maintained by the AMA CPT® Editorial Panel.