On Nov. 2, CMS received the 2018 final payment rule, providing a 1.2 percent increase in ASC reimbursement next year. The final rule also addressed several issues pertaining to orthopedic procedures in ASCs, including total joint replacements and spine...
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Happy Thanksgiving from Welter Healthcare Partners
All of us at Welter Healthcare Partners, would like to wish our clients, families and friends a Happy Thanksgiving! We are grateful for the relationships we have formed and for your continued to support of Welter Healthcare Partners. In observance of the holiday, we...
Effective Decision-Making — Professional Development Tidbit
Decision-making in its most basic form is the act of choosing between two or more courses of action. Each and every person in the world is faced with the decision-making process on a daily basis – whether it’s trivial things like deciding what is for dinner or which...
Physician Fee Schedule Final Policy, Payment, and Quality Provisions for CY 2018
On November 2, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018.nnThe overall update to payments under the PFS...
Providers Take Note: These Simple Strategies Will Improve Billing, Patient Satisfaction
Unfortunately, many healthcare providers are missing out on things like electronic billing, email capture.nnA new survey by the Medical Group Management Association suggests providers, especially hospitals, are missing out on key areas to improve when it comes to...
Code Spotlight — Code category I21: Acute Myocardial Infarction
MI code updatesnnThe list of ICD-10 code updates is extensive and Myocardial Infarctions got a makeover with this year’s revision. Code category I21 has been renamed from “ST elevation and non-ST elevation myocardial infarction” to “Acute myocardial infarction”....
Trump Reverses Course, Rejects Alexander-Murray Deal on Health Care Subsidies
WASHINGTON — President Trump reversed course Wednesday and threw cold water on a new bipartisan congressional health care plan designed to maintain subsidies for health insurance exchanges, thereby temporarily propping up the Affordable Care Act.nnA day after...
MIPS: Time’s Up for 90-Day Participation
Physician practices may begin data collection as late as December 31 and still avoid the negative payment adjustment.nnOctober 2, 2017, marked practices’ deadline to begin collecting data for the Centers for Medicare & Medicaid Services’ (CMS) “pick your pace”...
Cardio Case — Surgical Coding: WHP Coding Conundrums
As most medical practices are aware, not all cases are easy to navigate using the latest medical standards. The information below highlights a complicated cardio surgical case with an detailed cardio case, correct CPT and ICD-10 codes. Do you have a complicated...
Cardio Case — Surgical Coding Series: WHP Coding Conundrums
As most medical practices are aware, not all cases are easy to navigate using the latest medical standards. The information below highlights a complicated cardio surgical case with an detailed cardio case, correct CPT and ICD-10 codes. Do you have a complicated...
Industry Hot Buttons — MACRA / MIPS Update
With the implementation of QPP, the deadline for submitting 2017 performance data is approaching fast! Eligible providers can submit performance data for dates of service starting on January 1, 2017 – October 2, 2017. Data submission to CMS must be done by March 31,...
2018 ICD-10 Updates
2018 ICD-10 updates will soon go into effect on October 1st. These changes will impact encounters for dates of service October 1, 2017 through September 30, 2018. It is imperative that your organization has up-to-date coding resources and a keen understanding of the...