Tag Archives: ICD-10 implementation

The Impact of QPP on Cardio-Oncology Care

Many professionals or experts working in the healthcare IT industry, policy specialists and new industry stakeholders continue to investigate into the 1,473-page proposed “rule” released by the CMS or Centers for Medicare and Medicaid Services in July 2018 that provides … Continue reading

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Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, … Continue reading

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OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice … Continue reading

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ASC CODING AND BILLING: KNOWING WHAT’S IMPORTANT

The basics of ambulatory surgery center (ASC) coding and billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a … Continue reading

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Prevent medical billing claim denials in Oncology Practice in 2018

Medical billing is seeing a new string of changes in regulating the medical billing and coding of the procedures and diagnostic.  In 2017, different medical challenges were faced by various specialties with the foremost one being the shift of Medicare … Continue reading

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How 340B payment cuts are affecting the oncology practice?

CMS released the proposed Outpatient Prospective Payment System – OPPS rule for 2018— which includes a major proposed cut for separately payable drugs purchased under the 340B program. The proposal would reduce reimbursement for separately payable Medicare Part B drugs … Continue reading

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CMS-Proposed Rule: Changes to the Ambulatory Surgical Center Payment

The Center for Medicare and Medicaid Services (CMS) proposed a new rule that will update the payment policies and rates. The update will specifically cater to Hospital Outpatient and Ambulatory Surgical Centers (ASC). The rules will set forth a motion … Continue reading

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