Belinda Caballero, MBA, CPC Medical Billing, Coding, and Collections Specialist, BC Medical Billing, LLC Tell us a little bit about how you got into coding, what you’ve done during your coding career, and where you work now.  I always knew I wanted to work in the medical field; I just wasn’t sure which aspect I ...
In Billing
Jun 1st, 2017
This first year should be easy, but everyone in your practice must play by the rules. It’s June 2017, half way through the first performance year of the Merit-based Incentive Payment System (MIPS). By now, your physician practice should have received a letter from the Centers for Medicare & Medicaid Services (CMS) informing your clinicians ...
Prepare to comply with the CMS Emergency Preparedness rule now. According to the National Oceanic and Atmospheric Administration, 2015 marked the eighth consecutive year that disaster from extreme weather cost the U.S. economy more than $10 billion. Last year, this trend continued with the massive snowstorms in the Northeast, flooding in Baton Rouge, and earthquakes, ...
Know the impact of this regulation on off-campus hospital departments. Section 603 (Site Neutral Payments Provision) of the Bipartisan Budget Act of 2015 (BBA) reduces Medicare reimbursement for certain off-campus hospital departments by eliminating eligibility for payment under the Hospital Outpatient Prospective Payment System (OPPS). With few exceptions, off-campus provider-based departments tha...
Keep calm, know your responsibilities and risks, have a plan, and carry on. If your physician office receives a request for records from a health plan’s special investigations unit (SIU), your best defense is knowing the options, responsibilities, and duties attached to the request. Understand the SIU and FWA The SIU is part of the ...