CAH Ambulance Changes

The current policy for ambulance services furnished by a CAH or an entity that is owned and operated by a CAH is 101 percent of the reasonable costs of the CAH or the entity in furnishing those services, but only if…

Activation of OPPS System Edits Delayed

Special Edition (SE) 19007 was revised to provide an update on Round 3 testing of system edits for Outpatient Prospective Payment System (OPPS) providers with multiple service locations and to announce a delay…

Provider Enrollment Updates

The Medicare provider and supplier enrollment process is a continuous one which requires on-going attention, lest you be impacted by an interruption in reimbursement…

ICD-10 Updates for 2020

CMS published the changes to the ICD-10-CM codes effective for services on or after October 1, 2019. There are 273 new codes, 21 deleted codes and 30…

Provider-Based Departments Update 2019

The Centers for Medicare and Medicaid (CMS) Are Requiring Hospital Provider-Based Departments (PBDs) to be Properly Enrolled in Provider Enrollment, Chain, and Ownership System (PECOS)…

Benchmarking for Medical Practices

Lutz Healthcare Consulting Director, Tara Wisdom, was recently featured in the May/June 2019 Physicians Bulletin, a publication of the Metro Omaha Medical Society. “Our life begins and ends with measurement…

Denial Management: Are You Doing Enough?

“There’s tremendous pressure to reduce denials. According to CMS, 20% of all claims are denied, 60% of lost or denied claims will never be resubmitted, and 18% of claims will never be collected…


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