CMS Final Rule 2019
November sees the publishing of Medicare’s final rules for 2019. It has allowed for sweeping changes to Telehealth, provider reimbursement […]
Controlling Prescription Drug Costs
Last week, the Trump administration announced the first mandatory CMS pay model to reign in the cost of prescription drugs. […]
Open Letter to CMS on Proposed E/M Rule
The Patient-Centered Evaluation and Management Services Coalition submitted an open letter to Congress in September sharing their concerns over the […]
Defining Trust
Trust is something very different for each person. What constitutes trust for you, may not be the same for the […]
Medicare Advantage Denials
We have talked about managing denials in the past, but have rarely gotten payor specific. In this recent article from […]
Pros and Cons of Site Neutral Payments
Last week saw a push from hospitals to lobby lawmakers about CMS’s proposal for site neutral payments. The site neutral […]
The Cost of Insufficient Documentation
Insufficient documentation is the root cause for most of CMS’s improper payments. For example, according to the Medicare-Fee-For-Service 2016 Improper […]
Being Responsive
In a recent blog post from Robert Rohm www.personalityinsights.com, he delved into responsibility and response. How often do you try […]
Additional Proposed CY2019 CMS Changes
We have talked a lot over the last month or so about the proposed changes to E&M Coding and reimbursement. […]