Executive Summary The CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule was released on July 13, 2021. This rule addresses annual payment updates and provision and policy changes that affect payment under the Physician Fee Schedule and Medicare Part B. These policies generally affect physicians and other providers of outpatient services in a variety…
Executive Summary The Center for Medicare & Medicaid Services (CMS) for CY 2022 will be focusing on fulfilling requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which includes setting performance thresholds at either the mean or median of the final scores for all MIPS eligible clinicians for the previous performance period….
With all of the changes going on in healthcare since the start of COVID-19, many physical, occupational and speech therapists are looking for opportunities to provide care in their patients’ homes. One avenue to deliver services at home is by setting up a rehab agency to bill the services. There are a lot of advantages…
Our Net Health compliance experts assembled this FAQ to help our customers understand information blocking. If you would like to download the information, click here. What is information blocking in Healthcare? In general, information blocking is a practice by a health IT developer of certified health IT, health information network, health information exchange, or health…
Those of us who have worked in healthcare know that the best audit outcomes depend on good planning. And nowhere is this truer than in the wonderful, wacky world of the Merit-Based Incentive Payment System (MIPS) where compliance audits are routine rather than the exception. As many of you will already know, effective planning takes…
As if it’s not stressful enough for clinicians to balance scheduling, treating patients, and creating defensible documentation, they’re also expected to know the ins and outs of physical therapy billing and coding. Unfortunately, untangling the rules of insurance payers can often feel like a full-time job. This is where Net Health Therapy can help! Having…
On April 8, 2021, the Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2022 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Proposed Rule and gave us a glimpse into what the future might hold for SNFs. Sure, it’s full of the expected adjustments to rates and indexes, and it boasts…
Since 2013, the federal law has required a 2% reduction to the reimbursement (applied to the 80% of the allowed charge) that a participating provider would receive directly from Medicare; this reduction in payment is referred to as “sequestration” because a set percentage of money is automatically removed (or “sequestered”) from the amount of funding…
Don’t be pulled, lead!! Have you ever felt like you were being pulled in all different directions at once by different people needing you? I imagine that’s what healthcare providers often feel like when they’re asked to provide copies of patient records. There are patients, clinicians, insurance companies, and auditors all wanting copies of patient…
The skilled nursing industry has been hit hard by COVID-19 challenges, with skilled nursing facilities (SNFs) reporting more than 100,000 deaths in 2020 alone.1 Combined with the recent shift to the Patient-Driven Payment Model (PDPM), SNF processes are now in the spotlight as patients, their families and public health officials look to improve operational outcomes in…