Health Insurance Marketplace CEO, Kevin Counihan says: “Our goal is to provide consumers with relevant, personal and more up-to-date information about a plan before enrolling. We thank the Marketplace health plans who have now made this information available to the public.” [ Read the story here ] With the launch of the new doctor lookup program, Heathcare.com hopes to add a much needed aid in finding the right doctor for everyone's unique needs.
In order to better understand the opioid abuse problem in the United States, Centers for Medicare and Medicaid Services (CMS) has released an interactive program showing an opioid use heat map. “The opioid epidemic impacts every state, county and municipality. To address this epidemic, while ensuring that individuals with pain receive effective treatment, we need accurate, timely information about where the problems are and to what extent they exist,” says CMS Acting Administrator - Andy Slavitt. “This new mapping tool gives providers, local health officials, and others the data to become knowledgeable about their community’s Medicare opioid prescription rate.” [ Read the story here ] [...]
Centers for Medicare & Medicaid Services (CMS) is proposing changing to its discharge planning requirements that healthcare facilities must meet. "...hospitals and critical access hospitals would be required to develop a discharge plan within 24 hours of admission or registration and complete a discharge plan before the patient is discharged home or transferred to another facility. This would apply to all inpatients and certain types of outpatients, including patients receiving observation services..." [ Read the story here ]
In the government's attempt at transparency, Centers for Medicare and Medicaid Services (CMS) has posted its data from Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS). The information comes from 385,000 physicians and healthcare providers and includes utilization, payment, and submitted charges. [ Read the story and view the report here ]
Centers For Medicare & Medicaid Services (CMS) has welcomed the International Classification of Diseases, 10th Revision (ICD-10). With the much delayed implementation of ICD-10 finally upon us, CMS is ensuring it is ready for the new codes to begin flowing! CMS is gathering data and will know more about how the transition is effecting providers and patients in the coming days. "The change to ICD-10 allows you to capture more details about the health status of your patients and sets the stage for improved patient care and public health surveillance across our country..." [ Read the story here ]
With the upcoming ICD-10 switch from ICD-9, some have worried that a potential government shutdown in the United States would once again still our upgrade to the ICD-10 coding system. Thursday, CMS officials announced that the ICD-10 switch would continue regardless of a potential government shutdown. CMS's Patrick Conway stated, "In the event of a shutdown, we will continue -- and I want to be clear on this -- to pay claims, to implement the ICD-10 transition." [Read the story here ]
The October update for the Outpatient Prospective Payment System (OPPS) from the Medicare Learning Network (MLN). Payment policy updates for HCPCS spacer placement. For the easiest and most holistic medical billing software, let Noble*Direct make your business operations run smoother. [ Read more from MLN ]
A report from the Government Accountability Office (GAO) account that Centers for Medicare & Medicaide Services (CMS) has made great strides towards enabling a smooth transition to ICD-10. It is yet to be known if there will be issues arising in the upcoming ICD-10 switch from ICD-9. "The Centers for Medicare & Medicaid Services (CMS) has made strides to minimize and fix system errors during the transition to ICD-10, however, the extent to which errors will affect the agency's ability to process claims can't be determined until CMS's systems begin utilizing ICD-10 codes." [ Read the full story ]
The Centers for Medicare and Medicaid Services (CMS) has awarded the Federal Specialized Services, LLC (FSS) the Appeals Support Contract, previously held by Blue Cross Blue Shield. Read the full story...
CMS has initiated a number of audit programs in its attempt to diminish payment errors and fraud. Responding to pre and post-payment RAC, CERT and ZPIC audits can take a toll on a provider's businesses both in time and monetary resources. The negative effects to DME providers in wasted employee effort and interruption to cash flow can be profound. The time, effort and expense required to recover requested documentation, copy, print, prepare and ship and then manage the myriad of pages requested for the audit can be daunting. Noble*Audits is a quick and painless response to such requests. Noble*Audits, when used in conjunction with our document imaging feature, will permit the fastest and [...]