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Showing posts from November, 2020

Acceptable Physician Specialty Types for 2020 Payment Year (2019 Dates of Service)

Acceptable Physician Specialty Types for 2020 Payment Year (2019 Dates of Service) Risk Adjustment Data Submission   https://www.csscoperations.com/internet/csscw3_files.nsf/F/CSSCAcceptable%20Physician%20Specialty%20Types%20PY2020.pdf/$FILE/Acceptable%20Physician%20Specialty%20Types%20PY2020.pdf Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

Medicare Fee-For-Service Estimated Improper Payments Decline by $15 Billion Since 2016

  CMS NEWS: Trump Administration Announces Medicare Fee-For-Service Estimated Improper Payments Decline by $15 Billion Since 2016 11/16/2020 CMS NEWS FOR IMMEDIATE RELEASE November 16, 2020 Contact: CMS Media Relations (202) 690-6145 |  CMS Media Inquiries   Trump Administration Announces Medicare Fee-For-Service Estimated Improper Payments Decline by $15 Billion Since 2016 Continued reduction marks fourth year Medicare FFS improper payment rate has been below 10%  The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Fee- For-Service (FFS) improper payment rate has continued to decline, reinforcing the Trump Administration and CMS’ commitment to strengthening Medicare and protecting taxpayer dollars. This translates to less fraud, waste and abuse that can increase the fiscal burden on the nation’s healthcare system. Over the past four years, CMS’ aggressive corrective actions have led to an estimated $15 billion reduction of Medicare FFS improper pay