From Modern Healthcare by Shelby Livingston “In what may be the first strike in a battle over what healthcare services should be provided in a hospital, Blues giant Anthem will no longer pay for MRIs and CT scans performed on … Continued
In an audit completed by the OIG, it was found that millions of dollars in incorrect EHR incentive payments were awarded. These payments were connected to the Meaningful Use (MU) portion of the payment program, which encourages the use of … Continued
CMS has released the proposed 2018 Physician Fee Schedule with the agency proposed to accept all of the recommendations from the CAP and AMA Specialty Society’s Relative Value Update. Some of these recommendations reflect increases. The CMS estimates that changes … Continued
Medicare Payment Advisory Commission (MedPAC) is an independent organization that assesses the Medicare program and makes recommendations on payment policy. In the release of their annual report, they have recommended a redesign of the MIPS reporting system. One suggested change … Continued
In a press release, CMS announced a proposed rule which is aiming to better accommodate providers and reduce hardships in the second year of the Quality Payment Program. The ultimate goal is to streamline the program by reducing the amount … Continued
In an article released by the AMA, a recent survey revealed that for the first time, physician practice ownership is no longer the majority. Currently 47.1% of physicians own their practice, compared to 76.1% in 1983. However, the majority of … Continued
eClinicalWorks one of the largest providers of electronic medical records has just settled a false claim case with the Department of Justice in the amount of $155 million. The press release stated that ECW misrepresented its software capabilities while also … Continued
In a recent press release, CMS announced the timeline for the replacement of current Medicare Cards, which contain the Social Security-based Health Insurance Claim Number (HICN), with new cards that contain a Medical Beneficiary Identifier (MBI). CMS is beginning its … Continued
This week Cynthia Glorioso, Vice President, Coding, Compliance, and Human Resources is attending the 2017 HBMA Compliance Symposium in Alexandria, VA on behalf of PMI. As the Compliance Officer at PMI, Cindy faces the task of ensuring the company is … Continued
The Department of Justice, Western District of North Carolina released a statement detailing a settlement made with Piedmont Pathology of Hickory, NC in the amount of $610,000. The allegations included the use of medically unnecessary stains brought to the attention … Continued