Due to communication between the AASM Payer Policy Review Committee (PPRC) and representatives from Blue Cross Blue Shield and Blue Care Network of Michigan, the payer has updated its policy and now accepts the AASM RECOMMENDED hypopnea scoring criteria. The PPRC has been communicating [...]

Despite the submission of AASM comments urging the Centers for Medicare & Medicaid Services (CMS) to retain all four of the AASM-stewarded sleep apnea measures in the Merit-based Incentive Payment System (MIPS), CMS finalized the removal of two measures for the 2019 reporting year and [...]

Question: How do I code for a patient office visit? Can I use consultation codes? What diagnosis code is appropriate for a patient office visit during which the patient is evaluated for OSA and scheduled for testing? Answer: Patient visits are billed using evaluation [...]

The Centers for Medicare and Medicaid Services (CMS) is hosting a national provider call about Physician Compare on Oct. 30, 2018, from 1:30 – 3 p.m. EDT. Physician Compare shares publicly reported performance information about clinicians and groups, which is pulled from the Provider [...]

The Centers for Medicare and Medicaid Services (CMS) has reviewed the adjustment factors and identified several errors in the scoring logic for the Merit-based Incentive Payment System (MIPS), resulting in several corrections to 2017 final scores and 2019 payment adjustments. Additional changes also have [...]

CMS has proposed revisions to the Physician Fee Schedule for 2019, to reduce the burden of paperwork and allow clinicians to spend more time providing patient care. A listening session has been scheduled, to explain three key provisions from the PFS proposed rule: Streamlining [...]

On Wednesday, July 25, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule outlining changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for potential implementation in 2019. The proposed changes to the two [...]