Medicare Coding Changes for Medical Billing in 2020 Every new year brings updates to the codes used for medical billing. Changes always include some additions for new diagnoses, procedures and technologies; revisions to make clarifications and corrections; and deletions to remove obsolete codes for treatments that are no longer accepted as part of standard care…

PAMA reporting delayed to 2021 with LAB Act passage PAMA has initiated certain amendments with the collection period of January 2019 to June 2019. Although the LAB Act emphasizes to push the reporting window for this data out by one year, the extensive definition of the applicable laboratory that requires a multitude of entities to…

Before You Hire a Medical Billing Company Ask About These 10 Points If you have never worked with a medical billing company before, it can be difficult to know what to ask about when you are trying to decide who you want to hire. On the other hand, if you have previously outsourced your medical…

Confused About Personal Health Records (PHR), Electronic Medical Records (EMR) and Electronic Health Records (EHR)? Here’s What They Are and How They Differ When the movement to make medical records digital first started up, the new terms weren’t very clear and electronic medical records (EMR) and electronic health records (EHR) were often denoted as EHR/EMR,…

Are You Using the HHS HIPAA Security Risk Assessment Tool? Be Sure to Get the 2019 Update The U.S. Department of Health and Human Services (HHS) recently released an update to its Security Risk Assessment Tool for Windows operating systems. (The tool is not available for Mac OS, but an older version is still available…

The Merit-Based Incentive Payment System (MIPS) is one of two payment tracks under the MACRA program. The purpose of the program is to deliver high-quality care for all—including both clinicians and patients—improve beneficiary options, enhance the experience for clinicians, and maximize participation. MIPS consolidates and replaces several previous programs. In this new system, there are…