In Audit
Jun 15th, 2018
Consider a career as a healthcare business professional. The hoopla of graduating high school is over, and now everyone is asking you, “What are you going to do next?” You might give the obligatory response, “Go to college,” because that’s what everyone expects. But is that the right answer? Learn a Trade that Pays Unless ...
In Billing
Jun 13th, 2018
Modifier 52, Reduced Services and Modifier 53, Discontinued Procedure apply to physician services while Modifiers 73 and 74, Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia and Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia respectively apply to facility charges. It ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
In Billing
Jun 11th, 2018
Suppliers should be aware of a recent increase to the fee schedule amounts for durable medical equipment (DME) furnished between June 1, 2018, through Dec. 31, 2018, in rural areas and non-contiguous areas (Alaska, Hawaii, and United States territories) not subject to a Competitive Bidding Program (CBP). Rural and Blended Fees This change requires new 2018 rural and ...
In Billing
Jun 11th, 2018
According to an article posted by the American Health Lawyer’s Association, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) expects investigative recoveries of $1.46 billion for the first half of fiscal year (FY) 2018, the agency said in its semiannual report to Congress. Last year at this time, OIG reported more ...