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Technical Resources for Medical and Radiation Oncology Practices
As 2013 winds down and preparations for the New Year begin, facilities and providers are somewhat relieved after analyzing the Final Rule for CY2014. Considering the significant changes originally proposed for 2014, some might say we avoided some major changes and reimbursement looks acceptable for the upcoming year.
The proposed rules for the upcoming calendar year contained significant changes for hospitals in regards to common radiation oncology services typically performed in preparation for actual treatment deliveries. When considering the effects of packaging that is being proposed for our industry, you might first focus on the financial impact. But what also may potentially be affected is compliance.
As more and more physicians transition to employment relationships with hospitals, they may ask, "Am I getting paid what I deserve?" With proper due diligence prior to joining the hospital, physicians can determine the answer to this potential question.
Would you risk your livelihood by taking shortcuts? In healthcare, taking unnecessary risks can put your practice—and potentially your patients' safety—in jeopardy.
This IMRT Reference List is a compilation of journal articles that could be utilized to support medical necessity for delivering IMRT treatments to anatomical sites whose diagnosis code is not covered under your LCD.
After a review of claims by Recovery Auditors, it was found that physicians and non-physician practitioners were incorrectly billing the number of units for Rituximab and Bevacizumab. In this article from the Medicare Learning Network(R), specific guidelines are given to accurately bill for these drugs.
With the impending implementation of ICD-10, this CMS article contains the latest information and resources available for healthcare providers.
In this current update, CMS is further clarifying the CY 2010 physician supervision policies in response to additional questions and comments received since publication of the final rules.
Cancer center design, whether hospital- or practice-based, requires the expertise and leadership of professionals who are highly experienced in not just the delivery of patient-focused clinical care but critical aspects of design and construction. Ultimately, space planning affects the quality of life of cancer patients and empowers everyone involved in helping healing thrive.
This overview provides helpful information to eligible health care professionals on how to participate in PQRS and criteria that must be met to qualify for incentive payments.
In this article, CMS provides eligible professionals and group practices information on how to avoid the 2015 PQRS payment adjustment based on the 2013 MPFS Final Rule.
This document provided by CMS, offers a quick summation of the reporting options available for eligible healthcare professionals and group practices electing to participate in the 2013 PQRS for incentive payment.
This CMS presentation provides an overview about the 2014 eRx and 2015 PQRS payment adjustments and includes detailed information on how physicians and practitioners can avoid these adjustments.
As a physician it is important to know and understand what qualifies as an "incident to" service. This article is designed to delve into the requirements needed to qualify as an "incident to" service and remain compliant with CMS standards.
As a provider, it is your responsibility to know when it is acceptable to use a rubber stamp instead of a handwritten or electronic signature. This article will detail the circumstances for acceptable use of a rubber stamp in lieu of a handwritten or electronic signature.
As a provider you may have many questions about signature documentation. What are the guidelines for using an electronic signature? What is required for a valid signature? What if I didn't sign an order or the medical record? This document, produced by the Medicare Learning Network, defines the specific requirements regarding a physician signature.
With the reported findings by the Office of the Inspector General that physicians and other suppliers frequently incorrectly report the POS in which they furnish services, this article clarifies the national policy for the correct assignment of POS codes.
This publication, as presented by the Medicare Learning Network, outlines payment and documentation guidelines for physician services in teaching settings. It also includes guidelines on evaluation and management (E/M) documentation for teaching physicians and residents.
This manual contains specific coding guidelines for drugs and biologicals used in both hospital and outpatient treatment facilities.
This document contains the Medicare claims processing coding guidelines specific to physicians and non-physician practitioners.
As a rural healthcare provider and supplier, there are some unique circumstances for billing specific services. This reference provides comprehensive rural billing information for each specific provider type including ambulance services, office visits, hospital services, radiology and diagnostics, clinical laboratory tests, supplies and drugs, and preventive services.
With the establishment of the State Medicare Rural Hospital Flexibility Program, certain facilities participating in Medicare are eligible to become Critical Access Hospitals (CAH). This document contains the requirements for CAH designation, CAH payment information and grants to states under the Medicare Rural Hospital Flexibility Program.