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 [...]

The Centers for Medicare and Medicaid Services (CMS) is hosting Merit-based Incentive Payment System (MIPS) webinars for the Cost, Improvement Activities, and Quality Performance categories for 2018 to share information on requirements, scoring criteria, and data submission. Information and registration details are provided below. [...]