As 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.
The 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.
According 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.
On 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.
CPT® 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.
In a recent survey of 150 high-level healthcare executives, a whopping 83% believe that the code switchover will happen on October 1, 2015, without further delays.
CareFirst Blue Cross BlueShield (CareFirst) announced on May 20, 2015 that the company was a victim of a cyberattack which has compromised personal information of about 1.1 million of their customers. The attackers gained limited, unauthorized access to a CareFirst database.
The ICD-10 transition is fraught with challenges for physician practices. As the code set increases dramatically, practices that are not fully prepared will likely experience an increase in denials, ballooning AR and reduced cash flow. Here are 3 warning signs your practice is not ready for ICD-10. 1. Impact Assessment?