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On February 1, 2013 the Centers for Medicare and Medicaid Services (CMS) released its final rule on the Physician Payment Sunshine Act, also known as the Sunshine Act. The Sunshine Act was originally passed in 2010 as part of the Affordable Care Act.
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When your practice receives a CMS Medicare Revalidation notice, there is another step beyond completing the CMS 855B form - the site visit. Site visits can also occur if your practice is adding a new location.
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Securing contracts with third party payers is critical to the success of your medical practice. Third party payers are seeking ways to standardize their claims processing methodology and reduce their administrative costs. However, the variety of contract methodologies can be confusing, overwhelming, and difficult to assess.
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There have been major changes to the codes in the Psychiatry section of the Current Procedural Terminology (CPT) manual. These are the codes that must be used for billing and documentation for all insurers in 2013. The last major update to this section was in 1988, which was 15 years ago.
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In January 2013, the US Department of Health and Human Services (HHS) announced a final omnibus rule that amends the Health Insurance Portability and Accountability Act of 1996 (HIPAA). These amendments are effective September 23, 2013 and modify the interim final rule that was published in August 2009.
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