Tag Archive for ‘Centers for Medicare & Medicaid Services’

What Surgeons Should Know...

The New Medicare Card Project

The steps providers can take to prepare for the Centers for Medicare and Medicaid Services New Medicare Card Project are outlined.

CMS recognizes ACS Surgeon Specific Registry as a PQRS-Qualified Registry

The ACS Surgeon Specific Registry has been recognized as a qualified registry for the Centers for Medicare & Medicaid Services’ (CMS) Physician Quality Reporting System.

The complexities of coding bilateral procedures

Coding for bilateral procedures is particularly challenging as the service is defined in various ways. This column addressed the complexities of coding these procedures and provides clinical case scenarios to clarify these guidelines.

Medicare and Medicaid audits

Health care fraud is a persistent and costly problem both for commercial and government payors. The Centers for Medicare & Medicaid Services (CMS) estimates that a significant amount of fee-for-service payments are misspent on improper payments every year. To address health care fraud, Congress and the CMS have developed a variety of approaches over the past several years to audit Medicare and Medicaid claims. This article is intended to present a high-level summary of these seven common audits.


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