In Billing
May 1st, 2014
RUC survey says reimbursement is based on pre-service and post-service time components. By Candice Ruffing, CPC, CPB, CENTC It wasn’t until last year, after 15 years of working the business side of medicine, that I began to understand how the value of a CPT® code was developed. Now that I know, I can see the importance of ...
Dec 1st, 2012
By Marcia Brauchler, MPH, CPC, CPC-H, CPC-I, CPHQ The new year is nearly here. Time to get a fresh start on your payer contracts. Gather your year-end data and prepare yourself to approach payers for new agreements or rate updates. Start with a High-level Perspective After you’ve gathered the contracts and information from payer websites ...
A focused effort on negotiating payer contracts can create much-needed money for any practice, and coders are uniquely qualified to facilitate these negotiations. This month, I’ll provide an overview of the contract negotiation process. In future months, we’ll discuss each step in greater detail to help you level the playing field with insurance companies. Ask ...
In Billing
Jan 3rd, 2011
The Medicare Physician Fee Schedule Database (MPFSDB) has been revised to include MPFS policy and payment indicator revisions, as well as relevant statutory changes applicable Jan. 1, 2011. The Centers for Medicare & Medicaid Services (CMS) issued a 2011 MPFS Final Rule Correction Notice to revise some physician work, practice expense (PE) and malpractice (MP) ...
In Billing
Apr 16th, 2010
Physicians in 42 states and territories stand to benefit from revisions to the geographic adjustments made in calculating payments for their services over the next two years, according to the American Medical Association (AMA). The revisions are a provision in the Patient Protection and Affordable Care Act (health reform bill), enacted March 23. HCR: Physicians ...