Medicare’s incident to billing

Demystifying the Incident to and Shared Visits Concepts

It’s quite common for people to get perplexed while going for medical services provided by the CMS. What many medical service providers find confusing is dealing with Medicare’s incident to billing and split/shared services. ‘Incident to’ services are provided as part of physician’s personal professional More..

FDA Trump Administration

Impact of the Trump Administration on FDA

President-elect Donald Trump has variously proposed plans for healthcare policy reform aimed at the following changes: The repeal of Obamacare. Enhancing private insurance competitiveness by national control of insurance that will provide health insurance coverage and affordability. Controlling drug prices. Trump has a robust directive More..

NCCI Edit Coding Policy Manual

Updates for NCCI Edit Coding Policy Manual for 2017

The National Correct Coding Initiative (NCCI) was developed by the Center for Medicare and Medicaid Services (CMS) to promote national correct coding methodologies. The NCCI also aims at controlling improper coding, which leads to inappropriate payments in Medicare Part B claims. The coding policies of the CMS were More..

Pharmaceutical Regulatory Inspections

Get Prepared for Regulatory Inspections!

To maintain business continuity, the healthcare and pharmaceutical industries should comply with the best practice standards and the most current legislation throughout the lifecycle of their product(s). Regulatory inspections aim at conducting an activity to demonstrate that your company is operating in compliance with the More..

Foot Care Coding and Billing Challenges

Podiatry Billing and Coding

As podiatry medicine is quite different from other specialties, it is essential for billing professionals to know how to address the complexities in the field. Whether it be coding for a complicated foot surgery or for billing something routine. There is greater emphasis on claim More..

`Medicare Quality Payment Program

The Quality Payment Program Decoded!

The Department of Health and Human Services (HHS) released the final rule of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), with comment period implementing the Quality Payment Program (QPP), which is a part of MACRA. QPP improves Medicare by putting the focus More..