With the National Committee for Quality Assurance (NCQA) proposing several new Healthcare Effectiveness Data and Information Set (HEDIS) quality measures in 2017, payers and physicians need to focus on improving their quality scores and reimbursement with precise...
In the United States, the flu season starts during the fall, with influenza viruses increasing in October and November, and continuing to be active till as late as May. The best way to prevent the flu is by getting a flu vaccine, and this year, the Centers for Disease...
TCM or Transitional Care Management services are provided to enable patients to transition successfully from a hospital stay back to a community setting. They are provided for an established or new patient whose medical and/or psychosocial problems necessitate...
Medicare has begun testing its bundled payment model for hip and knee replacement in 67 metropolitan areas across the nation. This will make orthopedics medical coding even more challenging for hospitals and orthopedic practices. Hip and knee replacements are the most...
The Centers for Medicare and Medicaid Services (CMS) has released few corrections to the 2016 HCPCS Level II code set. Though the updates were released late, the changes are effective from Jan 1, 2016. HCPCS was developed by the Centers for Medicare and Medicaid (CMS)...
