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Hospitals have called on the CMS to take concrete steps to revise federal anti-kickback laws and support providers’ move to value-based care, including revising what is considered a referral to giving providers protection for unintentional violations. All in all, the CMS received over 300 comments after it asked providers this summer how it should amend the so-called…
DetailsHard work never fades… It lives in your achievements, it lives in your success stories and always inspires the generations to come. We salute you for the amazing work you do! Sending you warm wishes on Labor Day! In honor of this special holiday, RT Welter will be closed on Monday, September 3rd and resume…
DetailsNew login requirements for Medicare — Action Required The Centers for Medicare & Medicaid Services (CMS) will be implementing a system security change that affects the Novitasphere log in requirements for maintaining access. Effective September 1, 2018, registered Novitasphere users must log into Novitasphere at least once every 30 days to be considered active. This…
DetailsProviders affiliated with UCHealth University of Colorado Hospital and University of Colorado School of Medicine are no longer seeing patients with UnitedHealthcare Medicare Advantage plans, a UCHealth spokesperson said. Spokesperson Dan Weaver said in a statement that the providers made the decision because of UnitedHealthcare’s handling of medical claims. “Unfortunately, United Healthcare does not follow…
DetailsKaiser Permanente Colorado said Monday it has notified about 2,500 patients that it will no longer serve as a Medicaid provider in some areas of the state. Kaiser Permanente stopped providing health services as a Medicaid provider in its northern, southern and mountain service areas on June 30. It will continue providing care to Medicaid…
DetailsYesterday CMS released their CY 2019 physician fee schedule proposed rule, which includes major proposed changes to E&M coding. Below is my review of this component of their propose rule, including page references to the source in the federal register. We all know E&M coding has it flaws, and 1995/1997 guidelines could not have accounted…
DetailsAs the CMS charts a path to level pay for outpatient services, it’s also leading toward a head-to-head battle with powerful hospital lobbying groups as some providers win and lose with site-neutral payments. Check out the article, below, for more information! If the agency’s 2019 proposal to pay the same rate for services delivered at off-campus hospital…
DetailsHealth Care providers across the nation are nervously awaiting the future of the Title X funding under the Trump administration. Check out the article, below, for more information regarding the Title X funding and how it impacts populations everywhere. At the age of 17, Iliana Neumann was orphaned when her mother, a single mom working…
DetailsMajor changes are in store for the Merit-based Inventive Payment System (MIPS) in 2019, as the Trump administration pushes to reduce the record-keeping burden shouldered by clinicians. Continue reading, below, for why you should be prepared for these changes as soon as next year. In a slate of proposals released late last week, the Centers…
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