In Billing
May 1st, 2021
With medical claim denials on the increase, healthcare entities can’t afford to sit idly by. Payer denials are undoubtedly occurring more frequently across all specialties and settings. It does not matter if you are a solo provider in the Midwest, a large physician group practice in the Southeast, or a hospital in the West. Medical ...
In Billing
Apr 19th, 2021
Suspension of the 2 percent sequestration payment adjustment applied to all Medicare Fee-for-Service (FFS) claims is extended through Dec. 31 of this year. Participating clinicians will continue to receive full payment of their Medicare claims during this time. What’s This 2 Percent Payment Adjustment All About? A 2 percent FFS sequestration payment adjustment has been ...
In Billing
Apr 13th, 2021
No time to read all those wordy transmittals? Here’s news you can peruse in under 5 minutes. Catch up on the latest Medicare Part A/B news communicated via Medicare Learning Network (MLN) articles on your break. Below are summaries of notable coding and billing changes. Do I have to repay the money I received from ...
In Billing
Apr 9th, 2021
Other claims system glitches fixed, with one still waiting. The Centers for Medicare & Medicaid Services (CMS) continues to issue new rules to accommodate no-pay Request for Anticipated Payments (RAPs) and Patient-Driven Groupings Model (PDGM). Principal Diagnosis CMS has reissued Change Request (CR) 11855 and added a few new instructions about requests for anticipated payments. ...
In Billing
Apr 1st, 2021
Know how to differentiate modifiers 58, 78, and 79 to ensure proper reimbursement for all procedures performed. Modifiers convey important information about a claim and can directly affect reimbursement. But choosing the most appropriate modifier can be confusing — especially when two or more modifiers have similar descriptors. Modifiers 58, 78, and 79 are all ...