https://qpp.cms.gov/
Making RVUs Work for Your Medical Practice
Resource -Based RVU defined July 01, 2014 Linked Articles The Basics of Making RVUs Work for Your Medical Practice RVUs Remain a Relevant System to Determine Physician Compensation Assigning RVU Values to Procedures That Don’t Have Them Using RVUs to Measure Physician Performance Calculate Your RVU Payment Cost Accounting in the Medical Practice via RVU […]
Medicare FAQ’s
Medicare Frequently asked questions from the Social Security Website https://faq.ssa.gov/link/portal/34011/34019/ArticleFolder/420/Medicare
Office of Medicare Hearings and Appeals (OMHA)
With the two midnight rule becoming effective, this website is a good resource for information. Office of Medicare Hearings and Appeals (OMHA) OMHA administers appeal hearings for the Medicare program. There are five levels in the Medicare claims appeal process. OMHA’s Administrative Law Judges hold hearings and issue decisions related to Medicare coverage […]
Clinical Trial Billing Seminar
Clinical Trial Billing Seminar Clinical Trial Billing – Building a Compliant Process that Works! Why Should You Attend: Beginning in 2000, with the National Coverage Decision (now “Clinical Trials Policy” or CTP), Medicare covers routine costs for Medicare participants in clinical trials. Though designed to protect taxpayer’s funds from fraud and abuse, the rules and […]
Clinical Trial Billing Compliance at Academic Medical Centers
Clinical Trial Billing Compliance at Academic Medical Centers Abstract Academic medical centers (AMCs) face a weighty regulatory compliance risk in billing Medicare and other third-party payors for clinical trial services. The culture and structure of many AMCs present significant challenges when attempting to coordinate the necessary information and operations to determine whether clinical trial services […]
Medicare & Clinical Research Studies-CMS Pamphlet
Questions and Answers Explaining Medicare & Clinical Research Studies Will I have to pay for any part of the study? Medicare pays for: routine costs of items and services in covered research studies. Examples of these items and services include: • Room and board for a hospital stay that Medicare would pay for even if […]
Hospital Value-Based Purchasing
Hospital Value-Based Purchasing The Fiscal Year 2013 Hospital Value-Based Purchasing (Hospital VBP) Program adjusts hospitals’ payments based on their performance on two domains that reflect hospital quality: the Clinical Process of Care Domain and the Patient Experience of Care Domain. The Total Performance Score (TPS) is comprised of both the Clinical Process of Care domain […]
Not Worried About the Fiscal Cliff? You Should Be
Hospitals have on average a 2% margin. One of the automatic cuts in the budget of the “fiscal cliff” are a 2% cut in medicare reimbursements. Those hospitals receiving a substantial portion of their payments from medicare need to take action quickly. You can read the complete article HERE .
What Does Accept Assignment Mean?
What Does Accept Assignment Mean? What does it mean to accept assignment on the CMS 1500 claim form – also called the HCFA 1500 claim form.? Should I accept assignment or not? What are the guidelines for accepting assignment in box 27 of the 1500 claim? These commonly asked questions should have a simple answer, […]
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