Jun 1st, 2012
Let under-utilized appeals systems work for your practice. By Heather M. Shand, CMAA, CBCS, CMB Sometimes, even if you do everything right, you may end up with denied claims. Rather than throw up your hands and walk away, you should appeal. Yes, it will mean extra work, but the results are worth it: Most of ...
May 1st, 2012
With so many different interpretations to coding rules, your practice can’t afford not to create one. By Pam Brooks, CPC If coding were described as a color, it would be gray. Even with CPT®, ICD-9-CM, and HCPCS Level II guidelines, and despite regulatory guidance from the Centers for Medicare & Medicaid Services (CMS), the Office ...
Jan 1st, 2009
A sneak peak into the bureaucracy of claims processing By Stephen C. Spain, MD, FAAFP, CPC When you think about the inner workings of your Medicare Fiscal Intermediary, what images does your mind conjure? Perhaps, like some, you imagine a cadre of bespectacled auditors, working long hours in dimly lit rooms, poring over your payment ...