Centers for Medicare and Medicaid Services (CMS) Issues Section 1332 State Innovation Waiver Checklist Checklist Aims to Help Stabilize State Health Insurance Markets for 2018 The Centers for Medicare and Medicaid Services (CMS) released new information to help states seek waivers from requirements in the Affordable Care Act (ACA). The new tool is intended to…
CMS published three informative resources to guide eligible clinicians participating in Merit-based Incentive Payment System (MIPS) in 2017: a factsheet on MIPS participation, another on MIPS data reporting for clinical improvement activities, and a list of qualified registries available for reporting MIPS data.
The Department recognizes some providers have had difficulties submitting claims during the transition to the new claims payment system (the Colorado interChange). In an effort to ensure providers are appropriately paid for services to our members, we are temporarily changing the limit for timely filing.
Modifier 25 landed itself on both private payer and the OIG hit lists again this year for overuse and blatant misuse leading to millions in overpayments – and everyone wants their money back! Applying Modifier 25 incorrectly can cost your practice tens of thousands of dollars! Understanding this modifier’s appropriate application can be very tricky.
Republicans and the Trump administration are reported to be close to amending the health care proposal on overhauling Obamacare.
RT Welter & Associates is excited to present our helpful career advancing tips and strategies to sharpen the skills prospective employers look for in a coder! I’m sure you’ve all heard the old adage: Practice makes perfect! As simple as it sounds, most of us don’t make or take the time to adequately practice, especially when approaching a new project, subject or task. It takes an incredible amount of hours to master a subject…10,000 hours to be exact!
TriCare is changing contractors! TriCare’s new carrier/contractor will be Health Net Federal Services. In the process of changing they are re-contracting and re-credentialing the provider network.
As you know, the new era of healthcare and the Affordable Care Act (ACA) has brought monumental changes and challenges to physician reimbursement and operations—expanded insurance coverage, threats of decreased reimbursement, increased patient cost share, data collection, and payer audits to ensure proper provider coding and documentation are just a few!
This serves as a reminder that the Colorado Department of Regulatory Agencies (DORA) has designated April 30, 2017 as the expiration date for all physician medical licenses.
A recent survey conducted by AMA reveals that practices are reporting an average of 37 prior authorization requests each week, eating up an average of 16 hours of both physician and staff time. Check out the article, below, by Health Leaders Media, outlining the results of the survey. The healthcare industry hasn’t eliminated the hassles…