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Doctor looking at CBR

Learn From Past Comparative Billing Reports

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In Billing
Jun 1st, 2023
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Billing and prescribing activities prone to improper Medicare Part B payments. The Centers for Medicare & Medicaid Services (CMS) initiated the Comparative Billing Report (CBR) program in 2010 to evaluate claims submission data, develop provider education, and raise awareness of peer-to-peer billing patterns. CBRs are unique to a specific provider and can be used as ...
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timely documentation

Don’t Let Untimely Documentation Hurt Your Practice

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In Billing
Jun 1st, 2023
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Timely, thorough medical record charting guards against lawsuits and revenue loss. What is the appropriate time frame for completing medical record documentation in the office setting? According to Medicare, “The service should be documented during, or as soon as practicable after it is provided, in order to maintain an accurate medical record.” Providers should comply ...
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Mental Health

Meet Documentation Requirements for Psychotherapy Services

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In Billing
May 26th, 2023
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Here’s what the OIG is looking for, and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public health emergency (PHE) for COVID-19? The Office of Inspector General (OIG) conducted a nationwide audit to find out, and recently published their findings. It is not ...
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medical necessity

Cigna Updates Modifier 25 Payment Policy

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In Billing
May 9th, 2023
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Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append ...
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billing solution

5 Qualities of a Great Physician Billing Solution

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In Billing
May 3rd, 2023
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Make an informed decision when choosing a company responsible for your reimbursement. If you’re a physician looking to boost your reimbursement rates, increase your financial performance, save on operating costs, or devote more time to patient care, outsourcing your billing needs is the way to go. Not all physician billing services are the same, however. ...
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