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medical coding Blog posts

October 23, 2019
by Simon Hughes

8 MIPS tips for the 2018 reporting year

I have been privileged to work with many practices and specialties, helping them navigate the very confusing Medicare Quality Programs. I wanted to leave you with a few tips for the 2018 reporting year:

October 15, 2019
by Simon Hughes

Here’s how often IBM’s Watson agrees with doctors on the best way to treat cancer

We’re starting to get a better picture of how artificial intelligence could help doctors better treat cancer.

October 4, 2019
by Simon Hughes

Are you being underpaid by medicare advantage organizations?

What’s the Problem? Sequestration underpayments have been improperly withheld from provider payments by many Medicare Advantage Organizations [MAO] in violation of CMS guidelines that were issued on May 1, 2013.

October 4, 2019
by Simon Hughes

Beyond appointment reminders

Many practices use an automated system for sending appointment reminders. You’re already paying for the service and the call, so why not maximize its value to your practice? Here’s some small changes to your appointment reminders that can yield big results.

October 4, 2019
by Simon Hughes

Certified physician assistants: 10 myths vs. facts

As a certified physician assistant (PA-C) who has practiced over 20 years, I am often surprised by the many fallacies that exist, even among physicians, about who physician assistants are, what we can do, where we practice and how we can improve practice operations and profitability.

October 4, 2019
by Simon Hughes

CMS looking to define enforcement for its hospital price transparency rule

Now that hospitals are required to post chargemaster data online for patients to access, the Centers for Medicare & Medicaid Services is exploring the most effective ways to make sure providers comply with the rules.

October 4, 2019
by Simon Hughes

CMS looks to expand medicare coverage to CAR-T therapy

CMS plans to cover a specific kind of immunotherapy for cancer patients.

October 4, 2019
by Simon Hughes

CMS proposes interoperability rules to increase EHR access

CMS released proposed rules that require many types of insurers to provide electronic health data in a standard format by 2020.

October 4, 2019
by Simon Hughes

CMS will cancel major bundled payment initiatives

CMS has proposed canceling the cardiac and expanded joint replacement bundled payment models.

October 3, 2019
by Simon Hughes

Efficiency in collecting patient liabilities

HIPAA AND THE TCPA Did you know that the Telephone Consumer Protection Act (TCPA) and HIPAA go hand in hand?