Scott Kraft a.k.a. skraft36
|Member since:||August 16th, 2013|
|Company/Org:||Scott G. Kraft LLC|
President, Scott G. Kraft LLC -- August 2013 to present
Director of Content Management, Executive Editor and Part B News Editor, DecisionHealth -- September 2002-August 2013
Longtime editor and contributor to DecisionHealth's Part B News. Now working as an independent consultant focused on delivering policy analysis and practical guidance to help physician groups operate more successfully.
Also a marathon runner and amateur chef based in Portland, Oregon.
Cooking, reading, running, spending time at the beach or outside, finding good IPAs in Oregon.
|May 27th, 2014||OIG adds to increased scrutiny of how patients pay for rising share of drug costs|
Charity programs that help patients pay for the rising cost-sharing obligations of needed drugs may run afoul of anti-kickback rules when the charity’s scope is so narrow that it guides the patient toward specific drugs for treatment or providers, the HHS Office of Inspector General said last...
|May 23rd, 2014||Cloned documentation on OIG radar screen in 2014|
One of the areas where the OIG has its sights set in 2014 is on physician documentation. The OIG plans to review documentation of E/M services looking for what it describes as “documentation vulnerabilities.” Put more specifically, the OIG reports that Medicare Administrative...
|May 6th, 2014||CMS NCD drops clinical trial requirement for FDG PET scans for solid tumors|
Patients no longer need to be in a CMS-approved clinical trial for physician practices to get paid for doing as many as four FDG PET scans for solid tumors – one for an initial treatment strategy and three to guide subsequent treatments, according to CMS transmittal 8739 to its Medicare Claims...
|April 19th, 2014||CMS reversal allows providers to furnish vaccines to patients within hospice election|
Providers are able to bill Medicare for vaccinations given to patients who are under a hospice election, a reversal of a May 2013 transmittal that issued common working file edits designed to ensure that only the hospice would be able to furnish these vaccinations. CMS details its reversal in...
|March 28th, 2014||Claims to be held by CMS for first 10 business days of April|
While Congress hashes out whether and how to avert the more than 20 percent pay cut now set to start on April 1, CMS is making its own contingency plans to avoid paying out a lot of claims that will need to be re-processed later, if Congress ends up missing the April 1 deadline for action. CMS...
|March 27th, 2014||Dreams of permanent pay fix fade as House passes one-year SGR fix; ICD-10 also faces potential delay|
Leaders on Capitol Hill spent so much time debating, discussing and even reaching a tentative deal on a permanent repeal to the Sustainable Growth Rate (SGR) formula that has caused so much payment uncertainty for physician practices that people started to think it would actually happen. It looks...
|February 28th, 2014||CMS launches ICD-10-CM assistance site for small practices|
CMS introduced a new web site specifically targeted at helping small physician practices with the transition to ICD-10-CM coding, which is still set to take place October 1. The agency announced the site at the recent HIMSS conference in Orlando, Fla. The web site, located at www.roadto10.org.,...
|February 9th, 2014||OIG Work Plan to look at excessive patient billing, place of service errors|
The 2014 OIG Work Plan has finally been released and, while it doesn’t have a lot of new issues for physician practices, there are definitely some areas worth your attention to avoid future compliance hassles. If you’ve been wondering where it’s been, the OIG decided to change...
|December 10th, 2013||2014 Billing and Coding Primer for Therapy Services|
The release of the 2014 Physician Fee Schedule Final Rule in late November, coupled with the scheduled expiration of certain provisions of the American Taxpayer Relief Act (ATRA) threatens to add a lot of confusion to how you bill for therapy services in 2014. We’re here to help. First, the...
|October 31st, 2013||Medicare Part B deductible, premiums to be unchanged for 2014; tips on deductible collection|
The Medicare deductible for Part B services will not change in 2014, remaining at $147 for the second straight year. The premium for beneficiaries will also remain unchanged at a base rate of $104.90, continuing the slowest five-year period of premium growth in Medicare Part B history, according to...
|September 18th, 2013||Influenza vaccine payments amounts released for 2013-2014|
|September 10th, 2013||ICD-10 updates for LCDs, articles due by April 10, 2014|
|September 6th, 2013||Look for standard use of remittance advice codes in 2014|
|August 30th, 2013||How to verify when it is time to re-validate Medicare enrollment information|