For the last few years, MIPS (Merit-Based Incentive Payment System) has been avoidable primarily due to COVID-19 and other hardships. However, 2022 seems to be the year when there is going to be pushback on the practices making it more difficult to get an exemption....
The new necessity for healthcare acquisitions
In 2021, the American Medical Association implemented significant changes to the Evaluation and Management (E/M) code sets applicable in the office/outpatient setting. Those changes, which were intended to simplify coding by placing more emphasis on complexity and...
As we have seen since April 2021, we are still being influenced by the Great Resignation or the Big Quit. COVID-19 was a wake-up call for many people in general, but even more so for employees who were not satisfied with their current roles in the workplace. Employees...
Let’s face it, running a healthcare business without some type of third-party assistance is difficult. Lawyers, accountants, IT providers, billing services all help to make the day-to-day operations of medical practices possible. But those services and others pose a...
The most recent significant changes to the E&M coding guidelines occurred in 2021 allowing physicians to choose between medical decision-making and time-based reporting for their services. Now, it appears we are in store for additional changes to begin January...
Recently, healthcare has been one of the most torrid industries for acquisitions and capital investment. Here at HCN we have been busy providing regulatory compliance due diligence to private equity firms, super groups, hospital systems, and ACOs looking to acquire or...
Telehealth is the remote or virtual delivery of healthcare services. CMS defines telehealth as a two-way, real-time interactive communication between a patient and a physician or practitioner at a distant site through telecommunications equipment that includes, at a...
It is hard to imagine that we are into our third year of dealing with the COVID-19 pandemic. It is understandable that we are hearing from our healthcare clients of growing anxiety and burnout that can lead to tension among employees regarding safety precautions and...
You’ve received a request for medical records from a payer, who is going to conduct an audit on your claims. Your Electronic Health Record (EHR) system is excellent, the notes are voluminous, your providers are well-versed at coding. If anything, you under code! You...