In Audit
Aug 16th, 2018
Improper payments stem from noncompliance. Hospitals do not always comply with Medicare requirements for reporting cochlear devices replaced without cost, according to a report issued by the Office of Inspector General (OIG). The U.S. Department of Health and Human Services branch office, charged with protecting program integrity, bases its conclusion on prior compliance reviews in which it identif...
In Billing
Aug 9th, 2018
With diligence and quick follow-through, you can recoup payments rightfully due to providers. Managing payer denials is key to proper reimbursement. The lack of appropriate and timely claim follow-up can cost even the most successful practice significant revenue. Although appeals take time and effort, the recoupment of lost payments makes the process profitable. Rejection and ...
Proper coding and reimbursement of services depend on it. Coding for duplex scans can be tricky because provider reports do not always include the necessary documentation. Here’s what you need to know about common duplex exams and the documentation challenges they present. Duplex Scan Basics Duplex ultrasound is a non-invasive evaluation of blood flow in ...
In Billing
Aug 7th, 2018
In a time when many scoff at the potential of being levied steep penalties for violation of HIPAA rules, a judge just upheld a fine that the Department of Health and Human Services (HHS) issued in 2017 for Texas-based MD Anderson’s use of unencrypted devices. This penalty is stiff and says that you cannot just ...
In Billing
Jul 30th, 2018
Medicare claims that do not meet date format requirements will be rejected. The Centers for Medicare & Medicaid Services (CMS) has released date formatting guidelines for the CMS-1500 claim form, which are effective for claims received on or after July 30. When date formatting requirements are not met, Medicare Administrative Contractors will return claims as “unprocessable” with t...