By Richard Scott (Belinda Holmes as Contributor)

in May 1, 2017 Part B News: Patient Encounters

Focus more on the preventive aspects of the “Welcome to Medicare” visit instead of the physical exam components and you may steer your practice to more success with this oft-denied service.

Practices endured a 17% denial rate for G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment) in 2015, the latest year of available Medicare claims data. The ...

Medicare Employs Sophisticated Data Analytics to Catch $1.5 Billion in Fraud 

The latest in Medicare and Medicaid fraud prevention? A collaboration between the Centers for Medicare & Medicaid Services (CMS), predictive analytic technology, and big data that has contributed to more than $1 billion in savings in 2014 and 2015.

The Fraud Prevention System (FPS) is a proactive strategy that analyzes payment requests submitted by providers. By looking at 4.5 million Medicare claims made on a daily basis, it aims to prevent ...

Attest to 2016 Program Requirements by February 28, 2017

The Centers for Medicare & Medicaid Services Registration and Attestation System is now open. Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by February 28, 2017 at 11:59 p.m. ET in order to avoid a 2018 payment adjustment. The EHR reporting period was any continuous 90 days between January 1 and December 31, 2016.

If you are participating in the ...