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speech therapy

5 Questions to Ask When Verifying Speech Therapy Benefits

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In Billing
Sep 1st, 2023
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Understanding the intricacies of speech therapy coverage helps bolster all areas of the revenue cycle. Verifying insurance benefits and obtaining accurate information are important steps in the revenue cycle, especially when billing speech therapy. Many insurers say they cover speech therapy services, but what they don’t always tell you is that only certain types of ...
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Coding E/M in ER

Coding E/M in the ED, Part 2

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In Coding
Sep 1st, 2023
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Questions about 2023 evaluation and management guidelines in the emergency department, answered. AAPC’s HEALTHCON, May 21-24, offered several sessions on the subject of evaluation and management (E/M) coding, including “Emergency Department Professional Fee E/M Coding,” presented by Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CCS, AAPC Approved Instructor, AAPC chief product officer. In this...
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audit incident-to services

A New Way to Audit Incident-to Services

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In Audit
Sep 1st, 2023
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Proper documentation and accurate billing are essential aspects of healthcare compliance. The Centers for Medicare & Medicaid Services (CMS) sets guidelines and regulations to ensure adherence to reimbursement rules for incident-to services. Some of CMS’ rules center around practices that employ advanced practice providers (APPs). When auditing medical records, it’s crucial to understand and a...
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Supplies, implants, and devices

Coding Supplies, Implants, and Devices

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In Billing
Sep 1st, 2023
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Ensure optimal reimbursement for items that are not billed as durable medical equipment. Assigning the proper codes to supplies, implants, and devices can have a direct effect on coding compliance, charging accuracy, and the amount of outpatient reimbursement that a hospital or facility receives. Healthcare providers routinely use many items that should not be separately ...
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Susan Suwinski

Advice From a CHONC™

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In career growth
Sep 1st, 2023
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AAPC member Susan Suwinski, CPC, CDEI, CDEO, CPB, CPMA, CRC, CGSC, CHONC, has worked in healthcare for over 20 years in many industry settings, including hospitals, physician practices, health plans, skilled nursing, and physical therapy. She has hands-on experience across the revenue cycle in coding, billing, follow-up, denials, reimbursement analysis, and managed care contracting. Suwinski ...
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