Three ICD-10 Myths and Facts That Every ENT Must Know
The curtains are falling on ICD-9 and in its place ICD-10 will be playing the lead role come October 01, 2015. At least that’s the version of the story the CMS and other government healthcare organizations are going by. It’s a version we should believe, considering even medical associations such…
The Difference Between PQRS Individual EP and Group Practice Reporting
The Physicians Quality Reporting System prior to 2010 only accommodated reporting by individual eligible professionals (EPs) through specified reporting channels. In 2010, through the enforcement of section 1848(m) (3) (C) of the Social Security Act (the Act), the Centers for Medicare and Medicaid Services (CMS) added a group practice reporting…
ICD-10: Transitioning from Fiction to Fact
It’s a running fact that the ICD-10 train is about to leave the station, and those that aren’t on board may be in for some challenging times ahead. It’s however a rather prevalent fiction that a lot about ICD-10 is flexible and therefore will not bear down on providers once…
How to Avoid Negative Payment Adjustments on the CMS PQRS Program
The Centers for Medicare and Medicaid Services, the custodian of the Physician Quality Reporting System (PQRS) has in 2015 initiated a raft of changes in the incentive program that will see Eligible Professionals incur negative payment adjustments in 2016.The PQRS program, which has been in force since 2007, is a…