Next year is shaping up to be an important year for rheumatology on Capitol Hill. Issues that remain unresolved by the last Congress include concerns within the Affordable Care Act, the need for a stable Medicare system with fair physician reimbursement, funding for the pediatric subspecialty loan repayment program, and appropriate reimbursement for specialty care. Most congressional leaders, newly elected or re-elected, know very little about arthritis and other rheumatic diseases. That is why it is critical that rheumatology professionals reach out and educate them on the importance of specialty care and the impact these diseases have on one’s quality of life.
Search results for: Medicare Part B
Rheumatology Practice Pearls: Appealing an Audit
The appeals process for a Medicare or Recovery Audit Contractor audit is a multistep process with filing deadlines attached to each level.
Arthritis on the Rise
CDC notes significant increase in arthritis-attributable activity limitation
Practice Page: What PQRI Means to Rheumatologists
The Physician Quality Reporting Initiative (PRQI) is a voluntary quality reporting program initiated by the Centers for Medicare and Medicaid Services (CMS) in 2007. CMS provides bonus payments to eligible providers who successfully report on applicable PQRI measures. For 2010, rheumatologists who successfully participate in PQRI can earn an incentive payment of 2% of the…
Coding Corner Answer
November’s Coding Answer
DEXA Champion Visits Local Rheumatologist
Sen. Blanche Lincoln (D-Ark.) visited the Arthritis Center of the Ozarks in Fayetteville, Ark., in August to speak with local rheumatologist Michael Saitta, MD, to discuss the importance of access to osteoporosis screenings.
Locum Tenens: How, When, and Who
Is the term locum tenens familiar to you as a practicing physician? It means “to hold the place of or to substitute.” This applies to a physician who temporarily takes over a practice or fills in for a partner for Medicare patients. This may occur for several reasons, such as vacation, maternity leave, or illness.
Are You a Meaningful User?
As a follow-up to last month’s article (August 2010) about the final rule for the electronic health record (EHR) stimulus program—which offers up to $64,000 to eligible providers who are meaningful users of an EHR system—this month we will explore the minimum requirements for successful meaningful use, which take effect in 2011 and will build gradually each year of the program.
Coding Education at the Annual Meeting
The Certified Rheumatology Coding Course and Exam will be available November 6–7 during the ACR/ ARHP Annual Scientific Meeting in Atlanta. This educational session is designed to increase knowledge of coding and billing compliance for physicians, fellows-in-training, practice managers, nurse practitioners, physician assistants, and coders/billers in rheumatology practices.
Your Coders Are as Good as Their Coding Tools
Are your coders equipped with the latest coding information? Every year there are changes to the diagnoses and procedure codes, whether this is deletion or newly created codes. Along with coding updates, insurance carriers frequently adjust, delete, or create medical policies to reflect updates to procedures or diagnose codes.
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