E-Prescribing Could Save Thousands of Lives Each Year

Regular readers of this blog will recall our recent discussion concerning the new ‘carrot’ of a 2% bonus that is being offered to electronic prescribers by the Centers for Medicare and Medicaid Services (“CMS”). Perhaps you will also recall our blog regarding the Drug Enforcement Agency’s (“DEA”) efforts to make E-prescribing more attractive by eliminating

HHS Proposed Rule Causes Controversy

Yesterday’s blog discussed the background of HHS’ proposed rule, which would penalize institutions that discriminate against providers who refuse to refer patients to abortion providers. As promised, today we’ll focus on the details of the proposed rule, which is entitled “Ensuring that Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory

Welcome to MTBC’s Healthcare IT

Welcome! MTBC, the Unique Healthcare IT Company®, has launched this healthcare IT blog as a way of providing regular updates to physicians and practice managers on the happenings of healthcare information technology. As a pioneer in the healthcare IT arena, MTBC has redefined the value and service of a medical billing company. MTBC is well

HHS and ACOG Battle Over OB/GYN Conscience Rights

In a controversial move, last Thursday, HHS proposed regulations that would prevent healthcare providers from being compelled to refer patients to abortion providers if doing so would violate the provider’s conscience. Before diving into the proposed rule, let’s quickly consider the history of this issue. ACOG Opinion On November 7, 2007, the American College of

After years of Litigation, E/M Denials Persist

Notwithstanding years of litigation and multi-million dollar settlements, many healthcare providers continue to experience inappropriate evaluation and management service (“E/M”) denials. Earlier today, I spoke with a provider who had a well-founded complaint regarding his denials, so I want to take a minute to quickly review the basics. E/M is a visit or consultation provided

New Jersey Lawmakers Cap Self – Pay Charges

Uninsured New Jersey patients will soon be seeing lower hospital charges. Earlier this week, New Jersey’s governor signed into law Assembly Bill 2609, which caps the fees that hospitals can charge uninsured patients. According to the New Jersey Commission on Rationalizing Health Care Resources, the constraints contained in this new law will cause a decrease

Reimbursement Denials Expanded for Medical Errors

As we discussed earlier this year, Medicare has created an ever expanding list of hospital-acquired conditions for which it no longer provides reimbursement. This list includes conditions such as pressure ulcers, hospital falls, certain catheter-associated infections, air embolism as a result of surgery, leaving an object in during surgery, providing incompatible blood or blood products

DEA Poised to Remove E-prescribing Hurdle

Physician societies, patient groups and federal and state agencies are rarely on the same page; so, on an occasion where they unanimously and enthusiastically support a common objective, things must move quickly, right? Not quite. For about a decade, electronic prescribing (also known as “e-prescribing”) has been praised for its promises of reducing deaths and

Insurer Erroneously Discloses Confidential Patient Information

According to news accounts, Blue Cross Blue Shield of Georgia (“BCBS of Georgia”) recently sent more than 200,000 benefits letters (e.g., EOBs) to incorrect recipients, causing widespread concern among BCBS of Georgia’s patients and forcing the insurer to quickly rollout a mitigation plan. The Atlanta Journal-Constitution reports that most of the erroneous mailings were EOBs.

How to Earn Your Electronic Prescribing Bonus

In recent blogs, we focused on Congress’ carrot and stick approach to encourage e-prescribing. As we discussed, providers who implement e-prescribing could receive Medicare bonuses (above and beyond the Medicare fee schedule payments) equal to 2% of their annual Medicare collections. However, providers who do not implement e-prescribing will eventually see their reimbursements drop below