Sarasota, FL (WorkersCompensation.com) – Earlier last week, CMS announced a proposed 3.34 percent decrease in the 2024 Conversion Factor that is used to calculate physician payments. According to a history from the American Medical Association […]

Sarasota, FL (WorkersCompensation.com) – Let’s face it, medical billing is complicated! The regulations and payer rules change on a daily basis, and the volume of information reviewed and regulated is astounding, with incorrect claims easily […]

Sarasota, FL (WorkersCompensation.com) – In 2018, the Centers for Medicare & Medicaid Services (CMS) removed Total Knee Arthroplasty (TKA) procedures, also known as total knee replacement, from the Inpatient Only List, allowing the procedures to […]

Sarasota, FL (WorkersCompensation.com) – According to the U.S. Department of Health and Human Services breach portal, there have already been 26 reports of healthcare data breaches reported so far this month. Of those, 18 cases […]

The Centers for Medicare and Medicaid Services (CMS) announced the expansion of its Amended Review policy to significantly more MSAs in the latest update to its WCMSA Reference Guide, Version 3.9. The Amended Review process was […]

n an update to its Section 111 MSP Mandatory Reporting User Guide (Version 7.1 Chapter III Policy Guidance) CMS made clear that in a subscription insurance policy arrangement, the lead insurer is solely responsible for […]