Healthcare News

Centers for Medicare & Medicaid Services has recently released an updated version of the ICD-10-CM for the fiscal year 2022. An updated set of diagnosis codes came to an effect on October 1st, 2021.The current edition includes 159 additions, 25 deletions, as well as 27 revisions. Here ...

CBR stands for Comparative Billing Report. Medicare CBRs are sent to healthcare providers whose billing or prescribing pattern differs from their peers within the same specialty state- and nationwide. Such reports are aimed at notifying and educating healthcare providers of significant divergence. F...

CMS is determined to lessen the administrative burden associated with participating in the Merit-based Incentive Payment System (MIPS) so that healthcare providers can focus on ensuring patients get the best quality of care. Thus, the following changes were made for next year an...

CMS has released a set of toolkits for providers, states, and insurers to help the health care system get ready to swiftly administer the COVID-19 vaccines and certain monoclonal antibodies once they become available. The resources are designed to increase the number of providers tha...

Medicare issued a waiver for telehealth services for the public health emergency. But which services are allowed, and who are permitted to furnish them? Keep reading to find answers to these and many more questions!   Question: What services can be offered via tele...

CMS has finalized changes to outdated federal regulations, such as the Stark Law, which have saddled health care providers with more administrative costs and impeded the advancement of the health care system toward value-based reimbursement. To know more about these changes and Anti-Kick...

In health care settings, fear of uncertainty, preoccupation, and anticipation of unpleasant sensations create a communication barrier between healthcare providers and the recipients of services. Mind Booster Art serves as a form of strategic, non-verbal communication that allevi...

With the gradual reopening of businesses in New York State, there are guidelines for businesses that wish to reopen their workplaces. Familiarizing yourself with these guidelines will help you avoid the accompanying penalties. Keep reading to find out more about what steps your busin...

Are you aware that EPs or a group of EPs that have already selected their reporting period and calculated their patient volume before the MEIPASS attestation system is opened for the payment year can now complete a Pre-Validation? For more details about this, read along.Are you aware? EPs or a group...

Many medical practitioners are yet to understand and key into record auditing, especially now that the Department of Health and Human Services’ Office for Civil Rights (OCR) conducts periodic audits to ensure that covered entities and their business associates comply with the requi...

The above will be acceptedfrom September 14th up to December 14th, 2020, and allowspractices so submit their patient volume data for evaluation and acceptancebefore attestation.If EPs or a group of EPs have alreadyselected their reporting period and calculated their patient volume prior tothe Medica...

The Office of Managementand Budget (OMB) has approved the ABN, Form CMS-R-131. The deadline for usingthe new ABM has been extended by CMS. The ABN, Form CMS-R-131, and instructionshave been approved by the Office of Management and Budget (OMB) forrenewal. Due to COVID-19 concerns, CMShas expanded th...

As of August 17th, MAC's havereopened medical reviews of services provided prior to March 1st,2020.To protect the Medicare Trust Fund againstinappropriate payments, Medicare Administrative Contractors (MACs) are resumingfee-for-service medical review activities. Beginning August 17, the MACs haveres...

For 2021, CMS proposes to expand the numberof procedures that Medicare would pay for in the hospital outpatient setting byeliminating the “Inpatient Only list,” which includes procedures for whichMedicare will only make payment when performed in the hospital inpatientsetting. This proposed change wo...

Despite a global public health crisis, healthcare providers still need to think about Merit-Based incentive Payment System (MIPS) reporting. We know it’s been a tough time, and some providers may experience strong difficulties while collecting the information required for MIPS, as well as fitting in...