09/05/2018

Recent RAC Monitor Articles

This edition includes articles on......

Recent RAC Monitor articles you may find informative...

OMHA: New Changes Designed to Improve Medicare Appeals Process

OMHA Issues Updates to Its Case Processing Manual

The Office of Medicare Hearings and Appeals (OMHA) announced updates to its OMHA Case Processing Manual (OCPM), which was first released in 2015.  READ MORE

CMS Appears Willing to Change Method of Selecting E&M Code

CMS engages in lively discussion about the proposed 2019 MPFS.

The Centers for Medicare & Medicaid Services (CMS) was asked yesterday by a listener if the agency considers their proposal to change the method of selecting the E&M code by using time, medical decision-making, or the current system and the change to a blended payment rate for these visits to be inextricably linked or whether they would adopt one and not the other.

The agency responded that they are open to unlinking them and would welcome comments. READ MORE

 Impact on Work RVUs Expected to be Far-Reaching – Including the Revenue Cycle

2019 E&M changes will impact all areas of practice management. Far-reaching impacts to work relative value unit (RVU)-based compensation models that will pay providers in full or part are expected if the Centers for Medicare & Medicaid Services’ (CMS’s) proposed evaluation and maintenance (E&M) changes become a final rule. In…  READ MORE