The September 2016, PACEP (Pennsylvania College of Emergency Physicians) newsletter provides an interesting perspective on balance billing and how this practice negatively impacts emergency service providers and their patients. Under EMTALA emergency care is required to be given but insurance … Continued
In June, Dave Nicholson, President of PMI traveled with a team from HBMA (Healthcare Billing and Management Association) for their 10th annual advocacy meeting with CMS leaders and key congress committee members in Washington, DC. At CMS, Dave led the … Continued
In response to feedback regarding the proposed implementation timeframe of the Quality Payment Program, CMS has announced in their blog additional flexibility in the 2017 participation year. The following four options have been provided by CMS: Test the Quality Payment Program … Continued
October 1, 2016, marks the end of the one year grace period CMS has established for utilizing unspecified diagnosis codes. Physician billers should be prepared to see more denials and less leniency for submitting claims not coded to the highest … Continued
In a press release from Centers for Medicare and Medicaid Services (CMS), less than one third of Accountable Care Organizations (ACOs) qualified for bonuses based on the 2015 performance year. Although quality improvement was seen in comparing the 2014 and … Continued
The Department of Veterans Affairs (VA) is looking to expand the roles of APRNs in the care of veterans. They hope that by expanding the scope of practice, healthcare will become more accessible. However, some providers are concerned about the … Continued
The link below provides a summary of CMS’s proposed rule and outlines the key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which includes two paths – Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models … Continued
It was four years ago that MedChi CEO Gene Ransom stated “MedChi is proud to welcome such an esteemed billing company to our Affinity program. An asset to the industry, PMI’s longevity is a true testament to their high quality … Continued
Pathologists are beginning to receive letters from eGlobalTech with their Comparative Billing Reports – CBR201610: Immunohistochemistry (IHC) and Special Stains. eGlobalTech and Palmetto (a Western Medicare contractor) were originally working on this effort, but it has apparently expanded to the (Novitas) … Continued
In MGMA’s letter to Andrew Slavitt, CMS’s Acting Administrator, multiple recommendations were made to simplify MIPS and APM to include reducing reporting requirements and awarding credits across performance categories to increase efficiency and decrease duplication. Additionally, MGMA has requested an … Continued