Aug 8, 2014 | Medicare
In order to address glitches in the system, the CMS has taken the Open Payments system offline until next month. In the same week, the American Medical Association and 100 other medical societies including the American Academy of Orthopaedic Surgeons (AAOS) sent a...
Aug 8, 2014 | Medicare
CMS announced that Recovery Audit Contractors (RAC) will resume work in August to review some claims for improper Medicare payments. CMS’ statement reads as follows: “Recovery Auditors are an important part of CMS’ efforts to ensure proper payments are made on behalf...
Jul 11, 2014 | Medicare
On July 3rd, CMS released their proposed 2015 physician fee schedule. The final rates and policies will be effective January 1, 2015. Among other things, the Proposed Rule would refine the physician work and practice expense (PE) resource-based relative value units...
Jun 13, 2014 | Medicare
The American Joint Replacement Registry (AJRR) recently received designation as a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare and Medicaid Services (CMS) to report physician and patient observations and data. As a QCDR, the Registry could...
May 30, 2014 | Medicare
The HHS Office of Inspector General (OIG) estimates that Medicare inappropriately paid $6.7 billion for E/M services that were upcoded, downcoded, and/or lacked documentation in 2010. In response, CMS states that it will continue to issue education documents on E/M...
