Mar 27, 2015
As we recently reported, yesterday, March 26, by a vote of 392 – 37, the House of Representatives passed H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, which, among other things, would permanently repeal and replace the SGR formula.
Mar 26, 2015
By a vote of 392 – 37, the House of Representatives passed H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, which, among other things, would permanently repeal and replace the SGR formula.
Mar 20, 2015
As the March 31 deadline for Congressional action to prevent a 21% cut in physician fee schedule payments approaches, we want to take this opportunity to update you on where things stand in terms of Congressional enactment of a long-term vs. short-term SGR fix.
Mar 13, 2015
On certain occasions, providers may have to reduce services or discontinue a procedure for medical reasons. How do providers properly bill in these instances? Providers capture these particular services by appending modifiers 52 or 53 to the applicable claims.
Mar 06, 2015
The Measure-Applicability Validation (“MAV”) is a process utilized by Centers for Medicare & Medicaid Services (“CMS”) to determine whether eligible professionals or group practices should have reported additional measures to CMS for a specified reporting period. Specifically, MAV determines whether eligible professionals or group practices have earned the 2014 Physician Quality Reporting System (“PQRS”) incentive and thereby avoided the 2016 PQRS payment adjustment.
Mar 04, 2015
The legislative “patch” that is keeping a looming SGR 21% cut in Medicare payments from taking effect is about to expire on March 31.
Feb 27, 2015
On January 5, 2015, Centers for Medicare & Medicaid Services (“CMS”) implemented new rules for Modifier 59 to define subsets of the modifier and specification for their usage. Specifically, as of this date, Modifier 59 should not be used when a more descriptive modifier is available. The more-descriptive modifiers are the new modifiers XE, XS, XP and XU, which are described here.
Feb 20, 2015
The subject of encryption has been very prevalent in the news recently, and those in the healthcare industry likely encounter the topic on nearly a daily basis. Security threats to a physician practice’s private communications may seem like a necessary evil in today’s world, and yet they do not have to be. One tool healthcare professionals can utilize is email encryption.
Jan 29, 2015
On January 29, 2015, the Centers for Medicare & Medicaid Services (“CMS”) announced its intent to engage in rulemaking to update the Medicare and Medicaid Electronic Health Record (“EHR”) Incentive Programs to shorten the Meaningful Use reporting period in 2015 to 90 days, among other things.
Jan 23, 2015
The “Medicare Program: Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs” (42 CFR 423.120(c)(6)) final rule, published in the Federal Register on May 23, 2014, requires physicians and other eligible professionals who write Medicare Part D prescriptions for Medicare patients to enroll in an approved status, or to have a valid opt-out affidavit on file for their prescriptions to be covered under Part D by June 1, 2015.