CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [Read more...]
Preventive Medicine Services – Medicare
Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]
Reporting post op visits to Medicare in 2017
CMS has mandated post op reporting using code 99024 in 9 states for about 250 codes. This isn’t just for surgeons! Many of the codes on the list are … [Read more...]
Facility versus Non-Facility in the Physician Fee Schedule
CMS develops and publishes the Physician Fee Schedule in November of each year, as part of the Physician Fee Schedule Final Rule The fee schedule … [Read more...]
This practice paid Medicare $4.48 million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is the one from the Department of … [Read more...]
Teaching physician rules and surgical procedures
The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]
How Fees are Set in the Medicare Fee Schedule
How does Medicare calculate payments? This overview provides information and examples to explain how fees are set in the Medicare Fee … [Read more...]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be … [Read more...]
How Physician Services are Paid – Infographic
CPT® Codes for Medical Reimbursement CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how … [Read more...]
How Physician Services are Paid
Have a new staff member or physician who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the pieces … [Read more...]
Medicare Rules for Incident To and Shared Services
Whose provider number is being used to bill services to the insurer, or to Medicare? This is a compliance risk area often overlooked. This 10 minute … [Read more...]
Can’t I Bill TCM for all Discharged Patients? Rules and Comments
An Overview of Transitional Care Management for Discharge “I can bill all discharges with Transitional Care Management codes. They’re all moderate … [Read more...]
There’s no place like home, but everyone likes to get out once in a while | Eligibility for home health services
In order to be eligible for Medicare covered home health services a patient must be considered home bound. But what does that mean? That the patient … [Read more...]
The Physician Who Never Sleeps: Using the Correct NPI
Years ago, I worked with an Orthopedist who needed hours less sleep than I or the average person needed. While it would be incorrect to say he never … [Read more...]