According to a recent article in DecisionHealth’s Part B News, there are steps one can take to better ensure a smooth reimbursement using the new transitional care management (TCM) codes. “Target 6 Core Strategies to Overcome TCM Code Denials, Secure Payment,” offers advice on some common problems associated with denials, such as: “Make sure you […]
www.pyapc.com/insights/article-offers-tips-for-reducing-tcm-claim-denials/In mid-August, the Centers for Medicare & Medicaid Services (CMS) released a Change Request, CR8863, informing physician practices and their billing staff that four new Healthcare Common Procedure Coding System (HCPCS) modifiers are to be reported instead of modifier -59 when reporting subset definitions of “Distinct Procedural Services.” The new modifiers are effective January 1, […]
www.pyapc.com/insights/new-2015-hcpcs-modifiers-require-billing-staff-training/Many popular tax incentives expired after 2013, and taxpayers will not be able to claim them for 2014 unless they are extended. Recently, the Senate Finance Committee passed the Expiring Provisions Improvement Reform and Efficiency (EXPIRE) Act (S. 2260), which would extend a set of expired tax provisions through the end of 2015. However, the […]
www.pyapc.com/insights/in-limbo-the-future-of-well-known-tax-extenders/April 1, 2014, the President signed into law legislation passed by the House and Senate delaying ICD-10 until at least October 1, 2015. As a result, and with more questions than answers, organizations have been compelled to reassess their timelines and budgets in order to comply with the date change. Speaking before the Georgia Pediatric […]
www.pyapc.com/insights/preparing-now-for-icd-10-cm/With clocks ticking and days elapsing, the healthcare industry marched forward toward an October 1 deadline for ICD-10 implementation. In late March, a piece of legislation that passed the Senate and was signed by the President, left providers scratching their heads about what comes next. Given these developments, healthcare associations have responded quickly with efforts […]
www.pyapc.com/insights/green-light-red-light-now-what-webinar-revisits-icd-10-timeline/If you’re not “in The Loop” yet, check out PYA’s newly revamped healthcare platform featuring enhanced capabilities. The Healthcare Loop is ultimately a one-stop shop for healthcare news and updates. By selecting “keyword” topics, subscribers receive The Healthcare Loop daily email of articles on the topics they choose to read. Like its predecessor, ReformLoupe, The […]
www.pyapc.com/insights/are-you-in-the-loop-the-healthcare-loop-offers-personalized-curated-healthcare-news-service/The compliance deadline for the implementation of the ICD-10-CM and ICD-10-PCS code set will be extended once again. The Senate voted March 31, 2014, to approve a bill that includes a section stating the Department of Health and Human Services (HHS) cannot adopt ICD-10 code as the standard until at least October 1, 2015. A […]
www.pyapc.com/insights/icd-10-transition-presentation-what-health-lawyers-need-to-know/Once upon a time, tax-exempt hospitals provided charity care and community benefit in exchange for tax breaks. The end. But wait! Increased scrutiny from politicians and regulators has rewritten this story’s ending. Let’s go back in time. The year is 2005: Senator Charles Grassley of Iowa begins to voice concerns as to whether 501(c)(3) hospitals […]
www.pyapc.com/insights/back-to-the-future-a-saga-of-scrutiny-for-tax-exempt-hospitals/PYA recently rebranded their curated news source. Formerly known as Reformloupe, The Healthcare Loop provides a new platform and enhanced capabilities—ultimately a one-stop shop for healthcare news and updates. By selecting “keyword” topics, subscribers will receive The Healthcare Loop daily email of articles on the topics they choose to read. Like ReformLoupe, The Healthcare Loop […]
www.pyapc.com/insights/pya-launches-the-healthcare-loop-a-personalized-curated-healthcare-news-service/It’s time once again for the quarterly edition of Insights, PYA’s newsletter featuring information on valuation, forensic accounting, and litigation consulting topics. Click here to view your complimentary copy of Insights. Featured articles include: Court Discredits Apple’s Non-Expert Lost Profits Theory “Brand new,” “vague,” “untimely.” These phrases were used by the Northern District of California, […]
www.pyapc.com/insights/insights-newsletter-volume-1-2014/The many ways in which healthcare reform affects the healthcare industry are still playing out. Undoubtedly, a question for physicians and the hospitals that employ many of them is “how will physician compensation be affected?” PYA Principal Carol Carden spoke at the 2013 AICPA Healthcare Industry Conference, where she addressed this question with her presentation, […]
www.pyapc.com/insights/healthcare-reform-initiatives-affecting-physician-compensation/Several important changes to Medicaid reimbursement rules and regulations in Virginia have recently taken effect. Along with the normal updates in reimbursement rates, the additional changes, effective July 1, 2013, are outlined below. Reimbursement Rate Increase Thanks to the efforts of the Virginia Health Care Association (VHCA), nursing facilities in Virginia received critical increases in […]
www.pyapc.com/insights/changes-in-medicaid-affect-virginia-nursing-facilities/
