Colorado Hospitals and Physicians Must Begin Posting Prices for Most Common Procedures

Hospitals across Colorado must begin posting self-pay prices Monday for the most common procedures and treatments they offer — a potential first step in bringing more cost transparency to a sector whose pricing ambiguity has frustrated consumers and public officials alike. The move is mandated by Colorado Senate Bill 65, a 2017 measure from Republican…

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…

How the CMS Final Rule will Affect Orthopedic ASCs: 5 Key Notes

On Nov. 2, CMS received the 2018 final payment rule, providing a 1.2 percent increase in ASC reimbursement next year. The final rule also addressed several issues pertaining to orthopedic procedures in ASCs, including total joint replacements and spine procedures. Here are five ways the final rule will affect orthopedic ASCs, according to guidance from…

Providers Take Note: These Simple Strategies Will Improve Billing, Patient Satisfaction

Unfortunately, many healthcare providers are missing out on things like electronic billing, email capture. A new survey by the Medical Group Management Association suggests providers, especially hospitals, are missing out on key areas to improve when it comes to patient billing, payments and satisfaction. The Digital Payments Progress report, a product of a partnership with…

Code Spotlight — Code category I21: Acute Myocardial Infarction

The list of ICD-10 code updates is extensive and Myocardial Infarctions got a makeover with this year’s revision. Code category I21 has been renamed from “ST elevation and non-ST elevation myocardial infarction” to “Acute myocardial infarction”. Additional specificity options now include type 1, type 2, and other MI types.