Implement an enforceable assignment of benefits and protocols to protect providers against insurance underpayment and patient theft. Most members and contracted providers expect and/or take for granted Employee Retirement Income Security Act (ERISA) of 1974 law and assignment of benefits (AOB). But for non-participating (non-par) providers, the ability to receive insurance reimbursement directly, g...
In Billing
Aug 9th, 2019
January 1, 2020, marks the start of the Appropriate Use Criteria (AUC) program educational and operations testing period, at which time Medicare Administrative Contractors (MACs) will begin accepting AUC-related modifiers on claims for advanced diagnostic imaging services furnished to Medicare Part B patients. The voluntary participation period ends December 31, 2019. Know AUC Program Requirements ...
In Audit
Jul 24th, 2019
AAPC’s Regional Conference in New York City (Aug. 19-21) is a must for anyone who works in the business of healthcare such as medical coders, billers, and auditors. There will be opportunities galore for education, networking, vendor resources – all at a venue that can’t be beat. This year’s lineup of speakers includes Marianne Durling, ...
AAPC’s Regional Conference in New York City (Aug. 19-21) is a must for anyone who works in the business of healthcare such as medical coders, billers, and auditors. With so many opportunities for education, networking, and vendor resources all in one amazing place, this conference will certainly take your career to new heights! This year’s ...
Jul 8th, 2019
Compliance means providers not only have a compliance plan, but they use it. Navigating the healthcare fraud and abuse laws can be an overwhelming process. Healthcare is one of the most heavily scrutinized industries in our nation. The good news is that the Office of Inspector General (OIG) has provided many resources to increase our ...