Knowledge Center
By Maryann Palmeter
Dec 1st, 2016
Comments Off on Common Billing Compliance Pitfalls
Part 1: Bolster the areas where your incident-to and shared billing falls short. There are several major issues facing compliance officers today, such as HIPAA, Stark Law, and Anti-kickback Statute issues, as well as many billing compliance issues. B...
By Maryann Palmeter
Oct 21st, 2016
Comments Off on Data Collection Requirements for Post-op Visits
Under the Medicare Physician Fee Schedule (PFS), certain services (such as surgery) are valued and paid for as part of global packages that include the procedure and the services typically furnished in the periods immediately before and after the proc...
By Maryann Palmeter
Aug 26th, 2016
Comments Off on Why You Should Worry About PAMA and Tests
Do you think you don’t have to worry about PAMA because you are a physician clinic? You may be wrong, and this assumption could cost you big bucks. Background Section 216 of the “Protecting Access to Medicare Act of 2014” (PAMA) requires the Centers f...
By Maryann Palmeter
In Compliance
Jul 12th, 2016
Comments Off on Playing Musical Chairs with Physicians: Part 2
As promised, here are a couple more terms that address physician vacancies and the billing nuances associated with them. Reciprocal Billing A reciprocal billing arrangement is one in which one physician agrees to cover another’s physician’s practice o...
As curious kids, the sage advice “Don’t put anything in your ear smaller than your elbow” didn’t stop my friends or me from putting many things into our ears (and mouths and noses) that weren’t intended to go there. As a (sensible adult) coder, now w...
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