Medicare Compliance & Reimbursement

Take the time to ensure that you aren't bleeding revenue in these areas. Just because Medicare's regulations are complex and challenging doesn't mean you can't collect all of the revenue that your MAC owes you. Heed these six quick tips to make sure you aren't losing cash. 1. Update Your ICD-9 codes. It's that time of year when you should be finalizing your new superbills. Oct. 1 has arrived, and that means the new ICD-9 codes are in effect. Remember: Your ICD-9 codes prove medical necessity for your claims. Your CPT coding might be completely buttoned-up, but without accurate diagnoses, you can say goodbye to reimbursement. 2. Ensure That Your Nurse's Notes Are Ironclad If your nurse is performing and documenting your HPI, you could be asking for an audit. The only parts of the E/M visit that an RN can document independently are the review of systems (ROS); past, [...]