The shift towards value-based payment continues to pick up speed, and now, primary care providers have a new value-based payment model to choose from. CMS recently announced two new, voluntary direct contracting pay models that providers can opt into beginning in 2020. These new models More..
You already know that privacy is important to your patients. But when it comes to treating substance use disorders, privacy and confidentiality is one of patients’ top concerns. That’s where 42 CFR Part 2 comes in: it goes above and beyond HIPAA to extend special More..
Does your hospital meet all of the Conditions of Participation (COP) for radiology and nuclear medicine? Because of the health risks involved in working with or being treated with these types of equipment or materials, you must strictly follow all of the COP requirements. If More..
If you’re anxiously awaiting the release of the latest CPT® code updates, you’re not alone. The updates, typically released in September, will take effect January 1st, 2020. That gives you plenty of time to study and implement the CPT® that affect your practice and/or specialty. More..
Wondering what your diet will look like in 2020 and beyond? You’ll soon find out, with the 2020-2025 dietary guidelines for Americans slated for release in 2020. Not only are the dietary guidelines a blueprint for a healthy diet, they are also a mechanism to More..
Whether a family wants a surveillance camera in their loved one’s room or your staff takes random pictures to post on social media, camera use compliance—not to mention patient privacy—in long term care (LTC) facilities is a real concern. You have an obligation, mandated by More..
To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..
Twenty years ago, telehealth was more concept than reality, popular among visionaries but absent from most doctors’ offices. Today, telehealth is a rapidly growing industry changing the way practitioners and patients interact. The technology and the capabilities change almost daily. And then there are the More..
The Centers for Medicare & Medicaid Services’ (CMS) hospital compliance requirements are ever-changing and evolving. But sometimes, the CMS Hospital Conditions of Participation (CoP) requirements and Hospital Inpatient Prospective Payment System (IPPS) rule revisions change for the better. Case in point: You can expect changes More..
CPT® coding of Injection and Infusion services isn’t easy for newbies and veteran coders alike. You have a myriad of overlapping and intertwining coding rules to follow, which makes proper selection of CPT® codes about as clear as mud. At the same time, accurate coding More..