Blog Posts

Doctors

New CMS Pilot Gives Practices Access to Medicare Claims Data

Yeo & Yeo Medical Billing & Consulting

CMS announced a new pilot program for practices called Data at the Point of Care (DPC). The DPC pilot is based on application programming interface (API) standards and is part of the CMS MyHealthEData initiative. The pilot will provide practices access to Medicare claims data directly within ... Learn about the CMS pilot

Files

Medicare Processing Issues Delay Payments

Yeo & Yeo Medical Billing & Consulting

Medicare is currently having issues with processing incoming and outgoing files. The delay is in reguards to 835, 277, and 277CA Medicare J8 Part A and Part B, J5 Part B and J5 National lines of business. The issue will cause a delay in payment. ... Learn about the delay

Meeting

Auditing for Compliance

Yeo & Yeo Medical Billing & Consulting

An audit is a process of review for accuracy and efficiency based on regulations and procedures. Audits help identify billing and coding issues before they escalate, which allows medical practices to rectify errors before they are subject to government repercussions and fees. An audit can be conducted ... Learn about auditing for compliance

Audit

MIPS Audits Are Here: What You Need to Know

Yeo & Yeo Medical Billing & Consulting

Beginning this month, Centers for Medicare and Medicaid Services (CMS) will conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians for performance years 2017 and 2018. Practices targeted will receive a request for information from CMS' ... What do you need to know about MIPS audits?

Doctor

CMS releases updates to the Two-Midnight rule

Yeo & Yeo Medical Billing & Consulting

The Two-Midnight rule was established in October 2013. According to the fact sheet released by The Centers for Medicare and Medicaid Services, the rule states that inpatient procedures will be payable under Medicare Part A if the patient is expected to require a hospital stay that spans ... Read about the updates

Doctors

Humana Updates Its MIPS Payment Policy

Yeo & Yeo Medical Billing & Consulting

The Merit-based Incentive Payment System (MIPS) is a program that evaluates and rewards participating providers based on data reported in four performance categories: Quality, Promoting Interoperability, Cost, and Improvement Activities. Starting in June 2019, Humana Medicare Advantage plans will use MIPS payment adjustment rates ... Learn about the Humana updates