In Billing
Feb 1st, 2019
The Eight Circuit Court of Appeals upheld a lower court’s ruling regarding out-of-network payments by UnitedHealthcare (UHC). How Ruling Got Started UHC has a policy of offsetting payments for patients in a different plan when they are trying to recover what they considered an overpayment. These policies were put into effect in 2007 and were ...
In Audit
Nov 29th, 2018
A 5-year demonstration to develop improved procedures for the identification and prosecution of potential Medicare fraud occurring in the Home Health Program will begin in Illinois no sooner than Dec. 10, pending Congressional approval. The Centers for Medicare & Medicaid Services (CMS) will conduct the Review Choice Demonstration for Home Health Services in Jurisdiction M, ...
In Coding
Sep 19th, 2018
I started my career in clinical medicine as a physician assistant; however, I found my passion for healthcare business when two local physicians started a diagnostic radiology center and asked me to help. At the time, I did not realize that healthcare is a multi-dimensional business — from setting up billing, coding, and accounts receivables ...
In Audit
Jul 10th, 2018
Credentials open many doors to career opportunities. Which one will you enter? AAPC provides training and examination for every certification you could ever need to work in the business of healthcare. If you are new to the business of healthcare, you may not know which certification will help you to achieve your dream job. You ...
Your medical coding work is more important than you know. We asked a few experienced medical coders how their work ties to other things in life. This is a rather ambiguous question, to which we received four very different responses. Sara Boyce, CPC, CPMA, AAPC Associate: For me, medical coding has made me a better ...