Medical Billing and Coding 2017 is right around the corner and like every New Year we have CPT changes to review. Attached is a spreadsheet containing new/deleted codes that correspond with the chapters in the CPT manual.  The spreadsheet is tabbed by specialty or system where applicable.  This should make it easier for you to determine new and deleted codes specific to your specialty. There is also a tab for revised codes which includes a column...

January 1, 2017, is rapidly approaching and the Centers for Medicare and Medicaid Services (CMS) will be rolling out their new Quality Payment Program, specifically the Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Models (APM). This year, 2016, is the last reporting period for the Physician Quality Reporting System (PQRS) as it currently exists. MIPS and APMs will go into effect January 1, 2017. The first payment adjustment based on this reporting period will...

By: Dan Reber In my previous blog post, Three Steps toward Discovering Big Data, I began a discussion on the three significant steps, or transformations, I believe are required before healthcare data analysis can begin a significant evolution from crawling to walking. The discussion began with a commentary on Step 1: Exception Reports. You can read up on the earlier part of the discussion HERE. Now, I’d like to move forward to discussing Step 2: Analytics Department Setup...

Your ConnectiCare patients with commercial and Medicare Advantage plans effective on or after Jan. 1, 2017, will have new member ID cards. We will also be issuing new member ID numbers to all of your ConnectiCare Medicare Advantage patients. The redesigned member ID cards will make it easier for your office to identify the different product names, copayments and where you should send your claims for payment. It will also clearly note whether referrals are needed...