CNN Exclusive: California Launches Investigation Following Stunning Admission by Aetna Medical Director

Leading insurance company, Aetna has been under investigation for insurance claim reviews by former medical director for the company. Health insurance is a tough industry to navigate to ensure proper charges and reimbursement but RT Welter is ready to help! Contact us today to see how we can help your practice so you can get…

Transitional Care Management (TCM) Services

There is a lot of confusion surrounding reporting for transitional care management (TCM) services. CPT offers the following options to report TCM services: 99495 – Transitional Care Management services with the following required elements: communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; medical decision making of at least…

MIPS: Time’s Up for 90-Day Participation

Physician practices may begin data collection as late as December 31 and still avoid the negative payment adjustment. October 2, 2017, marked practices’ deadline to begin collecting data for the Centers for Medicare & Medicaid Services’ (CMS) “pick your pace” option two under the merit-based incentive-payment system (MIPS) track of the Medicare Access and CHIP…