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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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2023 CMS quality conference

2023 CMS Quality Conference Addresses Health Disparities

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In CMS
May 5th, 2023
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The PHE is over. It’s time to refocus attention on quality care. The theme for the Centers for Medicare & Medicaid Services (CMS) Quality Conference, held virtually May 1-3 this year, was Building Resilient Communities: Having an Equitable Foundation for Quality Healthcare. Each day of conference was packed with informative and inspiring sessions led by ...
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Telehealth visit

Telehealth Services After the PHE

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In CMS
May 1st, 2023
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Reimbursement will require you to know which waivers to Medicare coverage and payment policies end May 11. Once the end of the public health emergency (PHE) for COVID-19 was announced by the White House and then by Department of Health and Human Services Secretary Xavier Bacerra, everyone jumped to mixed conclusions about what that meant ...
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Claim denied

Claim Denied? Look Here for an Answer

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In Billing
Apr 3rd, 2023
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There’s more to NCCI than just the PTP edit tables. The Centers for Medicare & Medicaid Services (CMS) established and maintains the National Correct Coding Initiative (NCCI) program to promote national correct coding of Medicare Part B claims. NCCI contains several parts: the NCCI Policy Manual, the Correspondence Language Manual, the Procedure to Procedure (PTP) ...
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