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On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a ruling contrary to its traditional billing policy regarding payment of Part B inpatient services following denial of a Part A claim.
DetailsHealth care providers are REQUIRED to complete Compliance Certification! The Centers for Medicare & Medicaid Services (CMS) requires that all Humana business partners, including health care providers, complete required compliance training and certifications.
DetailsIn what appears to be a shift in policy, the Centers for Medicare & Medicaid Services has begun auditing providers attesting to Meaningful Use of their electronic health record systems before doling out incentive payments, according to a report from the American Academy of Family Physicians (AAFP).
DetailsBe on the lookout! Humana staff members regularly conduct medical record audits in randomly selected physician offices to help satisfy regulatory compliance by evaluating physician compliance with adopted medical record documentation guidelines.
DetailsReimbursement models are changing and Payer Relationship Management (PRM) is more important than ever!
DetailsWhile there’s no code for Spring Fever, many people can’t wait for: Y93.52 – Activity, horseback riding Y93.83 – Activity, roughhousing and horseplay Y93.66 – Activity, soccer Y93.53 – Activity, golf Y93.01 – Activity, walking, marching and hiking In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the…
DetailsT65.6X1A – Poisoning from green dye in beer, initial encounter
R53.83 – Fatigue due to exhaustively searching for 4-leaf clover
Y00.xxxA – Assault by blunt object (pot o’gold) thrown by leprechaun at the end of the rainbow, initial encounter
W22.02xA – Injury incurred by walking into lamppost during St. Patty’s Day Parade, initial encounter.
Last week at the Annual HIMSS13 conference in New Orleans, Marilyn Tavenner, Acting CMS Administrator, confirmed that the ICD-10 implementation date of October 1, 2014 will stand!
DetailsThe New Era of Healthcare and the Affordable Care Act (ACA) is bringing monumental changes and obstacles to physician and hospital reimbursement and operations – expanded insurance coverage through Medicaid and Health Insurance Exchanges
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