Oct 29th, 2014
Yesterday Rhonda Buckholtz, VP of ICD-10 Training at AAPC, reported on her interactions from the MGMA conference. Describing the general feel on the ground, she relayed the following, “We’ve talked to hundreds of different practices and most have told us the same story” said Rhonda. “The coders have been trained or are scheduled to get ...
May 1st, 2012
Understand your use of CPT® codes prone to audit review. By Stacy Harper, JD, MHSA, CPC In the current regulatory environment, physicians are searching for ways to minimize audit exposure. Medicare administrative contractors (MACs) frequently review high-level evaluation and management (E/M) services. Review may be based on a random sample, or targeted based on provider ...
In Billing
Feb 10th, 2012
The Medical Group Management Association (MGMA) urged the U.S. Department of Health & Human Services (HHS) Feb. 1 to alleviate payment disruptions resulting from the recent implementation of the 5010 documentation standard. The group asked for the delay of enforcement penalties, already delayed to March 31, to be extended an additional three months to June 30. MGMA ...
In Billing
Dec 2nd, 2011
The Centers for Medicare & Medicaid Services (CMS) Office of E-health Standards and Services (OESS) recently announced that it’s loosening its ASC X12 Version 5010 standards compliance enforcement with a 90-day discretion period for all Health Insurance Portability and Accountability Act (HIPAA) covered entities. It has come just in time before the compliance Jan. 1, 2012 ...
In Billing
Apr 29th, 2011
The transition to the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 standards is just over six months away. Physician practices who fail to make the impending deadline are at greater risk of not getting electronic payments from private insurers and Medicare. And yet, more than half of physician practices haven’t even scheduled testing, reports Medical Group Managem...