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…

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…

Trump Reverses Course, Rejects Alexander-Murray Deal on Health Care Subsidies

WASHINGTON — President Trump reversed course Wednesday and threw cold water on a new bipartisan congressional health care plan designed to maintain subsidies for health insurance exchanges, thereby temporarily propping up the Affordable Care Act. A day after signaling support for the plan developed by Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., Trump tweeted…

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…