Effective Jan. 1, 2019, the Centers for Medicare & Medicaid Services (CMS) required that hospitals publish their chargemasters online for consumers. At the time, it was made clear by CMS that this would be the first of potentially many initiatives geared toward increasing...

As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the 2020 Physician Final Rule.

A healthy patient-provider relationship that develops in the office can quickly be affected negatively if after the treatment the patient receives a medical bill that contains errors.To avoid this from happening, it is important that physicians and staff keep in mind the following...

Several ICD-10 and CPT code changes came into effect for urology in 2020. Practitioners need to understand the updates and associated urology medical billing guidelines to ensure accurate reporting and timely reimbursement.

More than three quarters of large companies today have a “data-hungry” AI initiative under way — projects involving neural networks or deep-learning systems trained on huge repositories of data. Yet, many of the most valuable data sets in organizations are quite small: Think kilobytes or...

In his recent blog, NextGen Healthcare’s Government Affairs Advisor Chris Emper highlighted some of the key regulations which will impact delivery systems and the Health Information Technology (HIT) industry alike. Among the new regulations are...

It’s been two years since the American Hospital Association (AHA) shouted from the rooftops that documentation by any interprofessional team would be accepted as validation to use the ICD-10-CM Z codes, as opposed to only documentation by physicians.

The World Health Organization (WHO) declared the novel coronavirus a global public health emergency on Jan. 31. As of Feb. 3, the coronavirus has spread to 24 countries, and the first death outside of China has been reported in the Philippines.

The Medicare Physician Fee Schedule (MPFS) includes special pricing for four colonoscopy codes when you append modifier 53 (Discontinued procedure). Here’s what you need to know about appending modifier 53 to these codes and the payment you can expect...