Finally: CMS releases 2021 final rule; no major surprises seen
December 15, 2020 | By By Grant Huang, CPC, CPMA At long last, CMS has published its Medicare Physician Fee Schedule (PFS) final rule, and while some of the…
Details
Performing a Gap Analysis
December 4, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Last month, Paul Spencer, Senior Compliance Consultant of DoctorsManagement (DM) and I had the privilege of…
Details
COVID-19: Resident Services Under the Medicare Primary Exception
November 27, 2020 | By Grant Huang, CPC, CPMA Auditing evaluation and management (E/M) services furnished by resident physicians under the Medicare Primary Exception (PCE) already required a firm…
Details
It’s the End of the World as We Know It!
November 20, 2020 | By Brenda Edwards, CPC, CDEO, CPB, CPC-I, CEMC, CRC, CMRS, CMCS The days of 2020 are winding down and I don’t know that any of…
Details
Insurance Coverage for COVID-19 Testing
November 13, 2020 | By Bryan Meek, Esq., Brennan, Manna, and Diamond As the COVID-19 pandemic continues to wreak havoc globally, routine COVID-19 testing of employees, patients, and the…
Details
A Trip Down the Google Rabbit Hole…Because Inquiring Minds Want to Know
November 6, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O Pumpkin spiced lattes are back at Starbucks, the days are getting shorter, there is a…
Details
How Relative Value Units Are Calculated
October 30, 2020 | By Edward Townley, Founder, Cogent9 Consulting We use relative value units (RVUs) in many aspects of our practices. Some physician compensation arrangements are based on…
Details
Prepare Now for Gray Areas in 2021 E/M Rules
October 23, 2020 | By Grant Huang, CPC, CPMA It’s not even 2021 yet, but gray areas have already surfaced in the 2021 E/M documentation guidelines, as more and…
Details
Focus Providers on Clinically Relevant History and Exam, and Concise Medical Decision Making
October 16, 2020 | By Scott Kraft, CPMA, CPC It’s fair to say the 2021 changes to the E/M documentation guidelines ease the documentation burden on the rendering provider…
Details
Audits Based on PHE Changes Are Coming — Are You Prepared?
October 9, 2020 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth If you are an active coder or auditor, you are likely keenly aware…
Details