2019 ICD-10-CM updates will soon go into effect on October 1st. These changes will impact encounters for dates of service October 1, 2018 through September 30, 2019. It is imperative that your organization has up-to-date coding resources and a keen understanding of...
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Hospitals Give CMS their Stark Law Wish List
Hospitals have called on the CMS to take concrete steps to revise federal anti-kickback laws and support providers' move to value-based care, including revising what is considered a referral to giving providers protection for unintentional violations.nnAll in all, the...
Welter Healthcare Partners Celebrates YOU!
Hard work never fades…nIt lives in your achievements, it lives in your success stories and always inspires the generations to come. We salute you for the amazing work you do! Sending you warm wishes on Labor Day!nnIn honor of this special holiday, Welter Healthcare...
Upcoming Changes to Novitasphere Log In Requirements
New login requirements for Medicare — Action RequirednnThe Centers for Medicare & Medicaid Services (CMS) will be implementing a system security change that affects the Novitasphere log in requirements for maintaining access.nnEffective September 1, 2018,...
University of Colorado Hospital Decline To Speak To UnitedHealthcare Members
Providers affiliated with UCHealth University of Colorado Hospital and University of Colorado School of Medicine are no longer seeing patients with UnitedHealthcare Medicare Advantage plans, a UCHealth spokesperson said.nnSpokesperson Dan Weaver said in a statement...
Kaiser Permanente Colorado says it will no longer be a Medicaid provider for 2,500 patients
Kaiser Permanente Colorado said Monday it has notified about 2,500 patients that it will no longer serve as a Medicaid provider in some areas of the state.nnKaiser Permanente stopped providing health services as a Medicaid provider in its northern, southern and...
CMS Released CY 2019 Physician Fee Scheduled Proposed Rule
Yesterday CMS released their CY 2019 physician fee schedule proposed rule, which includes major proposed changes to E&M coding. Below is my review of this component of their propose rule, including page references to the source in the federal register.nnWe all...
Site-Neutral Payment Policy Causes Battle Royale Between CMS, Hospitals
As the CMS charts a path to level pay for outpatient services, it's also leading toward a head-to-head battle with powerful hospital lobbying groups as some providers win and lose with site-neutral payments. Check out the article, below, for more information!nIf the...
Access To Services Under Federal Rule Change Worries Health Care Providers
nnnnHealth Care providers across the nation are nervously awaiting the future of the Title X funding under the Trump administration. Check out the article, below, for more information regarding the Title X funding and how it impacts populations everywhere. nnAt the...
You Should Expect Big MIPS Changes Under 2019 Quality-Reporting Proposals
Major changes are in store for the Merit-based Inventive Payment System (MIPS) in 2019, as the Trump administration pushes to reduce the record-keeping burden shouldered by clinicians. Continue reading, below, for why you should be prepared for these changes as soon...
CMS Has High Hopes to Simplify Home Health Recertifications
The Centers for Medicare & Medicaid Services (CMS) hopes physicians would no longer have to predict how much longer a particular Medicare patient will need home care in order to have the service re-certified, according to a regulation they proposed Monday. nn"In...
Overwhelmed With How The Upcoming ACC 2.0 Changes Will Affect You?
Join us for an open house to gain more information about the changes that are coming to health care this summer. We will discuss the next phase of the Accountable Care Collaborative (ACC 2.0), Colorado’s innovative approach to improving the experience and outcomes of...