A new AHRQ study published in Health Affairs estimated that low income, uninsured adults could have saved, on average, more than $1,000 per year in family out-of-pocket… Read More »AHRQ Study Shows Families Could Save More Than $1,000 on Average if States Expanded Medicaid
November is Lung Cancer Awareness Month and November 20 is the Great American Smokeout. Lung cancer is the leading cause of cancer death in the… Read More »Lung Cancer Awareness Month / Great American Smokeout
The Outcome and Assessment Information Set (OASIS)-C1/ICD-9 has been approved by the Office of Management and Budget (OMB) and will become effective on January 1,… Read More »OASIS Updates for Home Health Agencies
As of January 1st 2015, Simply healthcare plans will no longer be available for Medicare beneficiaries residing in Broward, Palm Beach, Duval, Clay, Brevard, Hillsborough,… Read More »Simply Healthcare plans may go out of business in few counties
On July 18, CMS awarded additional contracts as part of a restructuring of the Quality Improvement Organization (QIO) Program to create a new approach to… Read More »CMS Launches Next Phase of New Quality Improvement Program
The Open Payments Mobile for Physicians app helps physicians track payments and other transfers of value they receive from applicable manufacturers and applicable GPOs throughout… Read More »Next Generation Mobile Apps for Open Payments
The 2014 Medicare Physician Fee Schedule (MPFS) final rule stipulated a negative update to the MPFS that was to be effective January 1, 2014. That… Read More »Holding of April 2014 Claims for Services Paid Under the 2014 Medicare Physician Fee Schedule
Starting with claims received April 1, 2014, Medicare will only accept professional and supplier paper claims on the revised CMS-1500 claim form (02/12). You may… Read More »Medicare will only accept the revised CMS-1500 claim form (02/12) starting from April 1, 2014
On February 17, 2014, Cigna will begin using ClaimsXten™ version 5.02 for professional claims. ClaimsXten is a market-leading, rules-based software application that evaluates claims for… Read More »Cigna to apply McKesson ClaimsXten code editing software in February 2014
It is the beginning of the New Year and you’ll be verifying your patient’s insurance status when they show up in your office. With the… Read More »Verifying Patient Coverage in a Health Insurance Marketplace Plan