This July, the Centers for Medicare and Medicaid Services (CMS) proposed changes to the home health prospective payment system (HHPPS) for the calendar year 2016, which will have a significant...
Articles
Getting Reimbursement for Unlisted Procedures
Getting proper reimbursement for unlisted procedures is not that easy and you have to follow certain steps to increase the chances of reimbursement. A proper insurance verification is the first step...
Medicare Overpayment and Measures to Avoid Penalties
According to the Centers of Medicare and Medicaid Services (CMS), A Medicare overpayment is defined as a payment received that is in excess of the amount actually payable under Medicare regulations....
How Outpatient Hospitals Can Report S-ICD System Procedures
Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) System procedures are typically performed on patients who are at risk of sudden cardiac death and have not yet experienced a cardiac...
Attention Deficit Hyperactivity Disorder – Diagnostic and Procedural Coding
According to the Anxiety and Depression Association of America (ADAA), around 60 percent of children having attention deficit hyperactivity disorder or ADHD in the United States become adults with...
Changing U.S. Healthcare Trends to Watch for in 2015
The U.S. healthcare industry has been undergoing a total revamp for the past few years. A significant development was the introduction of Affordable Care Act (ACA), which increased the number of...
Solutions to Mitigate Rising Dialysis Costs
Kidney disease is a growing concern among the U.S. people. As per the Centers for Disease Control and Prevention, 10% of adults (more than 20 million people) in the United States may have Chronic...
Cardiovascular Disease Still a Major Health Risk
Cardiovascular diseases (CVD) are among the most serious and fatal disorders affecting Americans. CVD disorders affect the heart or blood vessels. Stroke, IHD (ischemic heart disease), RHD...
A Detailed Analysis of the Next Generation ACO Model
Medicare Accountable Care Organizations (ACOs) comprise groups of doctors, hospitals and other healthcare providers and suppliers who work collaboratively to provide coordinated, high-quality care...