All MedFocus Articles

Friday, September 21, 2012

Many providers inquire about the billing of a new patient face-to-face visit. This article clarifies the term "new patient" as defined by Medicare and identifies when a new patient code can or cannot be billed.

 

CMS defines the phrase "new patient" as:

  • A...
Friday, August 24, 2012

ICD-10 Announcement

HHS Secretary Kathleen Sebelius has just announced a final rule establishing a one-year delay - from Oct. 1, 2013, to Oct. 1, 2014- in the compliance date for use of the ICD-10 Coding system.   The one year delay is in response to complaints by the AMA and...

Thursday, May 31, 2012

CMS has announced that providers (or billing companies on behalf of providers) can submit the provider’s 855 enrollment application 60 days prior to their start date.  The new policy took effect on May 14th and was done...

Wednesday, May 30, 2012

Washington has been busy in the last few years creating incentives and penalties to promote electronic medical records, electronic prescribing, and quality initiatives, all with their own requirements but similar timelines.   If you are confused about how these programs interact with...

Wednesday, May 9, 2012

eRx Program Summary

In 2009, CMS implemented the Electronic Prescribing (eRx) Incentive Program, which is a program that uses incentive payments and payment adjustments to encourage the use of qualified electronic prescribing systems.

 

From calendar year (CY...

Monday, April 30, 2012

Pay For Performance/Value Based Purchasing Initiative Heats Up

 

Thousands of physicians received a sneak-peek at their future recently when CMS sent them quality reporting data...

Monday, April 30, 2012

On February 12th, CMS announced the release of a Program Transmittal (2407) re-establishing CMS policy on Place of Service codes.  The Transmittal was intended to revise and clarify national policy for POS code...

Friday, February 17, 2012

The House and Senate have both voted to approve legislation preventing the scheduled 27.4% SGR-related cut from taking effect on March 1.  The legislation goes to the President who has indicated that he will sign the bill.  Passage of the bill freezes physician pay rates at their...

Thursday, February 16, 2012

HHS announced today that they will delay the October 1, 2013 deadline for transition to a new and expanded set of diagnostic codes called ICD-10.  The American Medical Association (AMA) has been lobbying hard for this delay on behalf of its members who are currently facing many regulatory...

Tuesday, January 10, 2012

Months ahead of the January 1, 2012 deadline for submission of 5010 compliant claims, MedFocus performed claim testing between its practice management system and electronic clearinghouse, closely monitoring the progress and ensuring that when the time came, the company and its clients would be...

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