In Billing
Mar 21st, 2016
Physicians are allowed to perform only a limited number of lab tests since 1991. To do so, they must apply for a Clinical Laboratory Improvement Amendment (CLIA) waiver. The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing to ensure quality. The waiver allows physicians to perform certain test that CMS considers to ...
In Billing
Mar 19th, 2015
The Advanced Beneficiary Notice of Noncoverage (ABN) ABN is a written notice that a physician, provider, or supplier gives to a Medicare beneficiary before items or services are furnished when the provider believes that Medicare will not pay for some or all of the items or services. You can download the current version of the ...
In Billing
Jan 2nd, 2015
You should present Medicare patients with an Advanced Beneficiary Notice (ABN) only if the provider believes that Medicare may deny an otherwise covered item or service. If the patient is not given this advanced notice, providers may not shift financial liability for such items or services to beneficiaries should a claim for such items or ...
In Billing
Feb 3rd, 2014
You went into medicine with the grand idea that you would spend your days helping people, but the reality is much of your time is spent on the business of healthcare. Here are five tips that will make that part of your job a little more productive: 1. Use Advanced Beneficiary Notices (ABNs). The ABN ...
Apr 1st, 2013
By Melody S. Irvine, CPC, CPMA, CEMC, CFPC, CPC-I, CCS-P, CMRS As a physician auditor, I spend much of my time educating clinicians on proper documentation. This involves explaining and interpreting coding and compliance guidelines. When providing such guidance, the most common reply I hear from providers is, “I want it in writing.” An auditing ...