American Medical News Articles on Billing

A Medicare patient would be considered an inpatient after spending at least two midnights in the hospital if the CMS rule change is finalized.

The Medicare agency is probing whether physicians are using paperless systems to bill costlier services, but doctors say EHR complexity is the real problem.

Health care is experiencing a major overhaul, and practices face the brunt of the changes. Careful planning is needed to guide practices through it all.

A physician payment scorecard by an employer coalition also noted that a larger share of payments continues to go to specialists, not primary care doctors.

Beginning in 2014, McKesson’s test identifiers will be integrated with the AMA’s CPT coding system, according to the two organizations.

Physician practices must start using new diagnosis codes for billing patient services by Oct. 1, 2014.

WellPoint will unveil the commercial systems gleaned from reams of data digested by the “Jeopardy!” whiz.

Innovations in paying for health services are in the testing phase, with CMS launching a bundled payment initiative on Jan. 31.

A few Medicare administrative contractors are targeting E&M codes and holding back payment for those claims until physicians send medical records supporting the services.

Justices say Congress intended for federal officials to have ultimate authority to decide whether to extend the deadline for contesting past payment amounts.

New CPT codes may make it possible for practices to earn money from coordinating patient care services even without being an ACO or medical home.