Medicaid Archives

Is the GAO Holding CMS Accountable for Medicaid Telehealth Expansion?

Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM May 16, 2022

The GAO performs a study on telehealth. The U.S. Government Accountability Office (GAO) provides Congress, the heads of executive agencies, and the public with timely,

CMS to Penalize Physicians for “Guilt by Association” on Vendor Bad Acts

Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM October 28, 2019

It’s a move sure to stir up controversy. Under a recently passed Centers for Medicare & Medicaid Services (CMS) Final Rule, your Medicare enrollments will

Warning: Auditors Will Target SNF Patient Conditions, Not Services and Time Rendered

Knicole C. Emanuel Esq. September 23, 2019

Oct. 1, 2019, marks the beginning of a new era of billing for skilled nursing facilities (SNFs). EDITOR’S NOTE: This article was published on Aug.

How PDPM Could Make Catching Bad Guys More Difficult

Timothy Powell, CPA September 16, 2019

Under PDPM, reimbursement will be driven by coding and documentation. South Florida has historically been a hotbed of healthcare fraud, and there is a long

Social Determinants of Health in the News

Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP April 16, 2019

April showers bring social determinants of health flowers The showers of April have brought a burst of blooms in the Social Determinants of Health (SDoH)

Patient Care at Center at Interoperability

Stanley Nachimson, MS February 18, 2019

CMS and ONC get serious about interoperability during HIMSS. During the HIMSS 19 conference in Orlando last week, the heads of the Office of the

Understanding CMS Advanced Practitioner Professional Billing

Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner January 22, 2019

Not billing the APP service can result in serious revenue cycle errors. Many providers are still struggling with the non-physician practitioner (NPP) billing rules from

How Public Health Crises Affect Us All

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer January 22, 2019

The U.S. is in the middle of flu season this month and the opioid crisis appears unabated. There are several public health issues that are

2019: The Year of Interoperability

Stanley Nachimson, MS January 15, 2019

Interoperability is seen as the first step to using data for health improvement. I expect that 2019 will be the “Year of Interoperability”. The Centers

A New Year Brings New Challenges

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer January 15, 2019

Coders can expect to confront new challenges, including new payment models and HIPAA changes. The new year brings new challenges for the healthcare industry. From

2019 Physician Fee Schedule: Big Changes Ahead

Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC November 26, 2018

No separate codes for podiatric E&M visits in final rule. The final rule for the 2019 Physician Fee Schedule was released on Nov. 1. Some

Digesting the Medicare Physician Fee Schedule for 2019

Timothy Powell, CPA November 12, 2018

CMS issued the final rule on Nov. 1. The Centers for Medicare & Medicaid Services (CMS) final rule includes updates to payment policies, payment rates,

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