Practice Management Alert
Fee Schedule News:
Brace Your Practice for a 26.5 Percent Drop in Medicare Pay Next Year
As in years past, Congress may intervene and change the conversion factor cut before 2013.... Read more
Brace Your Practice for a 26.5 Percent Drop in Medicare Pay Next Year
As in years past, Congress may intervene and change the conversion factor cut before 2013.... Read more
CPT®2013 Primer:
Update Your Vaccine Codes and Billing Thanks to Code Changes and Clarifications
Bonus: CPT® 2013 adds a list of acceptable E/M codes you can bill along with the vac... Read more
Update Your Vaccine Codes and Billing Thanks to Code Changes and Clarifications
Bonus: CPT® 2013 adds a list of acceptable E/M codes you can bill along with the vac... Read more
CPT® 2013 Primer:
Don't Let ED Provider Billing Changes Thwart Your Claims
Radiology and thoracentesis code updates also top the CPT® 2013 changes you'll want ... Read more
Don't Let ED Provider Billing Changes Thwart Your Claims
Radiology and thoracentesis code updates also top the CPT® 2013 changes you'll want ... Read more
CPT® Errata:
Don't Forget to Check the Errata List From AMA
Get ready to mark your coding manual with changes.If you're scratching your head about som... Read more
Don't Forget to Check the Errata List From AMA
Get ready to mark your coding manual with changes.If you're scratching your head about som... Read more
Compliance:
Watch For Extra Scrutiny of Your Incident-to Billing, E/M Coding, and More
Pay attention to where the OIG will focus to ensure your practice isn't throwing up red fl... Read more
Watch For Extra Scrutiny of Your Incident-to Billing, E/M Coding, and More
Pay attention to where the OIG will focus to ensure your practice isn't throwing up red fl... Read more
Self-Audit Your Way to Successful Claims
Self-audits are not only necessary if your practice has been scheduled for an OIG audit; t... Read more
Self-audits are not only necessary if your practice has been scheduled for an OIG audit; t... Read more
Coding Corner:
Prepare for Record Number of New Code Bundles, Thanks to CCI 18.3
Changes to skin repair, A-line placement, and temporary pacemaker coding could halt your c... Read more
Prepare for Record Number of New Code Bundles, Thanks to CCI 18.3
Changes to skin repair, A-line placement, and temporary pacemaker coding could halt your c... Read more
Modifiers:
Prevent Denials By Honing Your Modifier 59 Skills
The OIG is focusing on modifier 59, and so should you.With payers scrutinizing claims subm... Read more
Prevent Denials By Honing Your Modifier 59 Skills
The OIG is focusing on modifier 59, and so should you.With payers scrutinizing claims subm... Read more
You Be the Billing Expert:
Billing for 'Case Management'
Question: Is there a way to bill for case management, phone calls to patients, filling out... Read more
Billing for 'Case Management'
Question: Is there a way to bill for case management, phone calls to patients, filling out... Read more
When Is a Procedure Really Separate?
Medicare has clear guidelines for separate procedure.Having clear documentation of the pro... Read more
Medicare has clear guidelines for separate procedure.Having clear documentation of the pro... Read more
Reader Question:
MA Shot Administration Won't Support E/M
Question: This is the first year we are considering providing FluMist without a physician ... Read more
MA Shot Administration Won't Support E/M
Question: This is the first year we are considering providing FluMist without a physician ... Read more
Reader Question:
Proper Billing Could Depend on 'Supple Neck' Clarification
Question: When my pediatrician writes "Neck is supple," should I count the phrase as part ... Read more
Proper Billing Could Depend on 'Supple Neck' Clarification
Question: When my pediatrician writes "Neck is supple," should I count the phrase as part ... Read more
Reader Question:
Early Patient Exit Means No Billable Service
Question: A mother brought her daughter for a well child check-up, although she didn't hav... Read more
Early Patient Exit Means No Billable Service
Question: A mother brought her daughter for a well child check-up, although she didn't hav... Read more
Reader Question:
Share Your Thoughts on Noridian's IGIV LCD
Question: I heard there was a new IGIV LCD for Noridian, but I can't find it. Where should... Read more
Share Your Thoughts on Noridian's IGIV LCD
Question: I heard there was a new IGIV LCD for Noridian, but I can't find it. Where should... Read more
Collections:
Capturing Some Reimbursement for No Show Visits With 4 Tips
Beware of the public relations affect no-show fees may have on your practice.These days ev... Read more
Capturing Some Reimbursement for No Show Visits With 4 Tips
Beware of the public relations affect no-show fees may have on your practice.These days ev... Read more
Coding Corner:
Get the Scoop on E/M Verbiage Tweaks Coming in the New Year
The good news is that the code descriptor changes won't really change your billing.Most pr... Read more
Get the Scoop on E/M Verbiage Tweaks Coming in the New Year
The good news is that the code descriptor changes won't really change your billing.Most pr... Read more
Payer Pointers:
Learn the Ropes of 5 Common Audits Your Practice May Face
Understanding several types of audits can help your practice prepare.If you are getting co... Read more
Learn the Ropes of 5 Common Audits Your Practice May Face
Understanding several types of audits can help your practice prepare.If you are getting co... Read more
HIPAA Highlights:
Get Your Privacy, Security Practices Up to Par Before HIPAA Auditors Show Up
With audits well under way, make sure your practice is following protocols before it's too... Read more
Get Your Privacy, Security Practices Up to Par Before HIPAA Auditors Show Up
With audits well under way, make sure your practice is following protocols before it's too... Read more
You Be the Billing Expert:
Is Parking Lot Service Billable?
Question: How do I bill a service that took place in our parking lot? The mother of the pa... Read more
Is Parking Lot Service Billable?
Question: How do I bill a service that took place in our parking lot? The mother of the pa... Read more
Reader Question:
ICD-9 Freeze Will Spare You New Updates This Year
Question: Are there any ICD-9-CM updates planned for 2013? Iowa Subscriber Answer: No ICD-... Read more
ICD-9 Freeze Will Spare You New Updates This Year
Question: Are there any ICD-9-CM updates planned for 2013? Iowa Subscriber Answer: No ICD-... Read more
Reader Question:
Check Your Contracts for Specialized Lab Test Billing
Question: Our physician has been running some very specific tests (saliva, stool, heavy to... Read more
Check Your Contracts for Specialized Lab Test Billing
Question: Our physician has been running some very specific tests (saliva, stool, heavy to... Read more
Guest Column:
Multiple Coverages: A Look at Primary and Secondary Payers
Written by Steven M. Verno, CMBS, CMSCS, CEMCS, CPM-MCS Editor's Note: This guest column ... Read more
Multiple Coverages: A Look at Primary and Secondary Payers
Written by Steven M. Verno, CMBS, CMSCS, CEMCS, CPM-MCS Editor's Note: This guest column ... Read more
Coding Corner:
Follow This 3-Step Path to Medical Decision Making Determination Success
The key is to first calculate each individual piece of the puzzle. E/M coding has been, a... Read more
Follow This 3-Step Path to Medical Decision Making Determination Success
The key is to first calculate each individual piece of the puzzle. E/M coding has been, a... Read more
News You Can Use:
Double-Digit Cuts May Strike Your Income Starting in January
Will your specialty see steeper cuts or pay raises? Find out where your payments will fal... Read more
Double-Digit Cuts May Strike Your Income Starting in January
Will your specialty see steeper cuts or pay raises? Find out where your payments will fal... Read more
Payer Updates:
Check to See If CMS Will Be Implementing Pre-Pay Audits in Your State
Plus, BCBS Rhode Island revamps contracts to focus on quality measures. Prepare yourself:... Read more
Check to See If CMS Will Be Implementing Pre-Pay Audits in Your State
Plus, BCBS Rhode Island revamps contracts to focus on quality measures. Prepare yourself:... Read more
Reader Question:
Watch Out for Modifier PD Changes
Question: We submitted a claim on July 17 for an FNA service performed on July 15. We rec... Read more
Watch Out for Modifier PD Changes
Question: We submitted a claim on July 17 for an FNA service performed on July 15. We rec... Read more
You Be the Billing Expert:
Does Serum Refill Keep Patient Established?
Question: I have a patient who was seen over three years ago. But, from 2009 through 2011... Read more
Does Serum Refill Keep Patient Established?
Question: I have a patient who was seen over three years ago. But, from 2009 through 2011... Read more
Collections:
To Collect or Not to Collect? That Is the Social Security Number Question
Let these three expert tips help you stay compliant while still gathering the info you nee... Read more
To Collect or Not to Collect? That Is the Social Security Number Question
Let these three expert tips help you stay compliant while still gathering the info you nee... Read more
Clip and Save:
Tackle Patient SSN Concerns With a Handy Information Sheet
Providing concrete information may help ease patient worries. While experts recommend that... Read more
Tackle Patient SSN Concerns With a Handy Information Sheet
Providing concrete information may help ease patient worries. While experts recommend that... Read more
News You Can Use:
Changes to the Healthcare Industry are Coming Thanks to the Supreme Court's Decision to Uphold ACA's Legality
How will you and other billers be affected? Review the opinions of these expert billing pr... Read more
Changes to the Healthcare Industry are Coming Thanks to the Supreme Court's Decision to Uphold ACA's Legality
How will you and other billers be affected? Review the opinions of these expert billing pr... Read more
Guest Column:
Thoughts about the Future: A Look at the Effect of the Affordable Care Act on Healthcare Billing
Written by Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCCWe have been in a... Read more
Thoughts about the Future: A Look at the Effect of the Affordable Care Act on Healthcare Billing
Written by Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCCWe have been in a... Read more
Payer Updates:
Primary Care May See Increased Payments Next Year Under CMS Proposed Rule
Plus, start getting prior authorization for Highmark patients for certain therapy services... Read more
Primary Care May See Increased Payments Next Year Under CMS Proposed Rule
Plus, start getting prior authorization for Highmark patients for certain therapy services... Read more
You Be the Billing Expert:
Billing for Same-Day E/M Visits
Question: If two physicians in the same group who are not in separate specialties see the ... Read more
Billing for Same-Day E/M Visits
Question: If two physicians in the same group who are not in separate specialties see the ... Read more
You Be the Billing Expert:
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill thei... Read more
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill thei... Read more
Billing Corner:
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs: Part 2
Tackle payment errors like a pro with this advice.Collecting payment for patients who are ... Read more
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs: Part 2
Tackle payment errors like a pro with this advice.Collecting payment for patients who are ... Read more
Radiology Billing:
Watch Your Claims for Proper Place of Service Assignments
New transmittals mean you'll have to focus on where the beneficiary was at time of service... Read more
Watch Your Claims for Proper Place of Service Assignments
New transmittals mean you'll have to focus on where the beneficiary was at time of service... Read more
Clip and Save:
Increase Your Primary and Secondary Payer Success By Verifying Benefits
Have patients fill out a form like this to capture all the information you need. Having a ... Read more
Increase Your Primary and Secondary Payer Success By Verifying Benefits
Have patients fill out a form like this to capture all the information you need. Having a ... Read more
Payer Updates:
Watch Out: MACs Can 'Look Back' More Than 12 Months Now
Plus, resubmit if you were a victim of the Humana claims edit that resulted in 450,000 rej... Read more
Watch Out: MACs Can 'Look Back' More Than 12 Months Now
Plus, resubmit if you were a victim of the Humana claims edit that resulted in 450,000 rej... Read more
Reader Question:
Watch Out for the Anti-Markup Rule on Diagnostic Tests
Question: Medicare requires participating providers to indicate on the claim form in Box 2... Read more
Watch Out for the Anti-Markup Rule on Diagnostic Tests
Question: Medicare requires participating providers to indicate on the claim form in Box 2... Read more
Reader Question:
Submit All Drug Details on Claim Form
Question: We provide injections and infusions in our office and seem to keep getting denia... Read more
Submit All Drug Details on Claim Form
Question: We provide injections and infusions in our office and seem to keep getting denia... Read more
You Be the Billing Expert:
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill thei... Read more
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill thei... Read more
Guest Column:
The Bell Curves Have Shifted
Researched and prepared by Suzan Berman, CPC, CEMC, CEDCWith the introduction and now cont... Read more
The Bell Curves Have Shifted
Researched and prepared by Suzan Berman, CPC, CEMC, CEDCWith the introduction and now cont... Read more
Compliance:
Scrutinize Your E/M Level Trends Before Your Payers Do
Are you part of the increase in 99214 and 99215 frequency?If you examine your practice's E... Read more
Scrutinize Your E/M Level Trends Before Your Payers Do
Are you part of the increase in 99214 and 99215 frequency?If you examine your practice's E... Read more
E/M Leveling FAQs:
Ensure Your E/M Billing Will Stand Up to Payer Scrutiny With This FAQ Rundown
These seven questions and answers will help your practice choose the proper level every ti... Read more
Ensure Your E/M Billing Will Stand Up to Payer Scrutiny With This FAQ Rundown
These seven questions and answers will help your practice choose the proper level every ti... Read more
Billing Corner:
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs
Start with the basics and then move on to learning the intricacies.When a patient is cover... Read more
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs
Start with the basics and then move on to learning the intricacies.When a patient is cover... Read more
Follow These CMS Rules for Submitting Medicare Secondary Payer Claims
Hint: Copy all beneficiary insurance cards, not just the Medicare one.When Part B practice... Read more
Hint: Copy all beneficiary insurance cards, not just the Medicare one.When Part B practice... Read more
Payer Spotlight:
Avoid 10 Common Billing Errors With 10 Expert Tips
Hint: Benefits verification can solve a lot of your denial problems.What's the top tool in... Read more
Avoid 10 Common Billing Errors With 10 Expert Tips
Hint: Benefits verification can solve a lot of your denial problems.What's the top tool in... Read more
News You Can Use:
CMS Extends 5010 Compliance Period
Bad news: Technical glitches are still causing problems.Practices that were sweating the A... Read more
CMS Extends 5010 Compliance Period
Bad news: Technical glitches are still causing problems.Practices that were sweating the A... Read more
Diagnosis Coding:
CMS Proposes One-Year ICD-10 Delay
Don't miss: New date isn't yet set in stone.Practices have been wondering how to make cont... Read more
CMS Proposes One-Year ICD-10 Delay
Don't miss: New date isn't yet set in stone.Practices have been wondering how to make cont... Read more
You Be the Billing Expert:
How Should You Bill Medicare?
Question: We are participating with Medicare. We bill and submit claims to Trailblazer (J4... Read more
How Should You Bill Medicare?
Question: We are participating with Medicare. We bill and submit claims to Trailblazer (J4... Read more
Payer Updates:
State Comptroller Audits Show UHC, Empire Were Overpaid $11 Million
Plus, Excellus BCBS will send refunds for incorrectly denied lead screening tests.Two stat... Read more
State Comptroller Audits Show UHC, Empire Were Overpaid $11 Million
Plus, Excellus BCBS will send refunds for incorrectly denied lead screening tests.Two stat... Read more
Reader Question:
Review Payer-Specific Policies for Provenge Billing
Question: A patient covered by Palmetto GBA presented for his first dose in the treatment ... Read more
Review Payer-Specific Policies for Provenge Billing
Question: A patient covered by Palmetto GBA presented for his first dose in the treatment ... Read more
Reader Question:
3 Codes Differentiate EKG Services, Not 26/TC
Question: What is the correct way to bill for an EKG/ECG done in our office that was inter... Read more
3 Codes Differentiate EKG Services, Not 26/TC
Question: What is the correct way to bill for an EKG/ECG done in our office that was inter... Read more
Reader Question:
No Intervention Could Mean No Pay
Question: My physician was called to the hospital to see a patient for a consultation. Aft... Read more
No Intervention Could Mean No Pay
Question: My physician was called to the hospital to see a patient for a consultation. Aft... Read more
Evaluation:
Evaluate Your Billing Procedures With Internal Audits, Before an Outside Auditor Does
Starting with a baseline audit will set your practice up for success.Would you pass an aud... Read more
Evaluate Your Billing Procedures With Internal Audits, Before an Outside Auditor Does
Starting with a baseline audit will set your practice up for success.Would you pass an aud... Read more
Employee Relations:
Follow 3 Steps to Avoid Staff Audit Worries
Tip: Start at the top and work down.Medical offices that are striving for the most accurat... Read more
Follow 3 Steps to Avoid Staff Audit Worries
Tip: Start at the top and work down.Medical offices that are striving for the most accurat... Read more
Compliance:
Let Audits Help You Capture Missed Charges and Improve Compliance
First determine if a prospective or retrospective audit is best.Medical offices that don't... Read more
Let Audits Help You Capture Missed Charges and Improve Compliance
First determine if a prospective or retrospective audit is best.Medical offices that don't... Read more
Coding Corner:
Improve Your Practice's Coding Accuracy Via Internal Audits
Don't wait for an OIG audit threat to start uncovering your coding weaknesses. Although so... Read more
Improve Your Practice's Coding Accuracy Via Internal Audits
Don't wait for an OIG audit threat to start uncovering your coding weaknesses. Although so... Read more
Follow-Up:
Uncover Billing Problems in Your Audit? Here's How to Fix Them
If your physician is stuck in a coding rut, give him the tools to get on track.Do you have... Read more
Uncover Billing Problems in Your Audit? Here's How to Fix Them
If your physician is stuck in a coding rut, give him the tools to get on track.Do you have... Read more
News You Can Use:
You Can Stop Worrying About a 27 Percent Medicare Cut -- Until the End of the Year At Least
10-month delay will only push payment formula problems to 2013.If your practice has been o... Read more
You Can Stop Worrying About a 27 Percent Medicare Cut -- Until the End of the Year At Least
10-month delay will only push payment formula problems to 2013.If your practice has been o... Read more
Clip and Save:
Identify Areas for Improvement With This Handy Self-Audit Checklist
Consider nine criteria when you sit down with your case files.If you don't know quite wher... Read more
Identify Areas for Improvement With This Handy Self-Audit Checklist
Consider nine criteria when you sit down with your case files.If you don't know quite wher... Read more
Bill This!:
Determine If You Can Bill Incident-to in This Case
How would you bill this case?Test your incident-to billing skills with this case study fro... Read more
Determine If You Can Bill Incident-to in This Case
How would you bill this case?Test your incident-to billing skills with this case study fro... Read more
Billing Primer:
Considering Going Out of Network? Follow These 3 Tips to Pave the Road to Success
Be honest with your patients to ensure a smooth transition.More and more providers are que... Read more
Considering Going Out of Network? Follow These 3 Tips to Pave the Road to Success
Be honest with your patients to ensure a smooth transition.More and more providers are que... Read more
Bill This!:
Determine Which Agency You'll Bill in This SNF Case
How would you bill each component of this case?Test your skilled nursing facility (SNF) bi... Read more
Determine Which Agency You'll Bill in This SNF Case
How would you bill each component of this case?Test your skilled nursing facility (SNF) bi... Read more
News You Can Use:
ICD-10 May Not Be As Close As First Thought
HHS confirms a delay in the implementation plan is coming.If you have been worrying about ... Read more
ICD-10 May Not Be As Close As First Thought
HHS confirms a delay in the implementation plan is coming.If you have been worrying about ... Read more
Money Matters:
Improve Your Practice's Bottom Line With 12 Easy-to-Implement Strategies
The bonus: You'll help meet your patients' changing payment needs, too.Every dollar counts... Read more
Improve Your Practice's Bottom Line With 12 Easy-to-Implement Strategies
The bonus: You'll help meet your patients' changing payment needs, too.Every dollar counts... Read more
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Ensure Patients Know You Mean Business With This Final Collections Letter
Informing patients of non-payment consequences is key.Practices across the country are fin... Read more
Ensure Patients Know You Mean Business With This Final Collections Letter
Informing patients of non-payment consequences is key.Practices across the country are fin... Read more
Payer Updates:
UHC Begins Using 'Value-Based' Contracts With Some Providers
Plus, if you made a claim in the AMA suit against UHC, start looking for your check.If you... Read more
UHC Begins Using 'Value-Based' Contracts With Some Providers
Plus, if you made a claim in the AMA suit against UHC, start looking for your check.If you... Read more
You Be the Billing Expert:
Can You Bill for Take-Home Drugs?
Question: I work for a physician that gives patients injections to be administered at home... Read more
Can You Bill for Take-Home Drugs?
Question: I work for a physician that gives patients injections to be administered at home... Read more
Reader Question:
G8644 Applies For 'No License' Exceptions
Question: Is G8644 used when a provider doesn't have authority under federal law to write ... Read more
G8644 Applies For 'No License' Exceptions
Question: Is G8644 used when a provider doesn't have authority under federal law to write ... Read more
Reader Question:
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
Reader Question:
Generic vs. Brand Name Won't Change Your J3301 Billing
Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Meyers Squibb. He ... Read more
Generic vs. Brand Name Won't Change Your J3301 Billing
Question: My doctor is using Kenalog 40 (NDC 0003029328) from Bristol Meyers Squibb. He ... Read more
Incident-to Billing:
Shore Up You Incident-to Claims or Face OIG Scrutiny This Year
Ensure your visit meets 4 criteria before filing an incident-to claim.If you don't know ho... Read more
Shore Up You Incident-to Claims or Face OIG Scrutiny This Year
Ensure your visit meets 4 criteria before filing an incident-to claim.If you don't know ho... Read more
News You Can Use:
You'll Be Spared a 27 Percent Pay Cut -- At Least Until the End of February
At nearly the last minute, Congress votes to boost conversion factor.Although the governme... Read more
You'll Be Spared a 27 Percent Pay Cut -- At Least Until the End of February
At nearly the last minute, Congress votes to boost conversion factor.Although the governme... Read more
News You Can Use:
Figure Out Which 5010 Category Your Practices Falls Under
Watch out: Not everyone will have until March 31 to comply.You thought you wouldn't face e... Read more
Figure Out Which 5010 Category Your Practices Falls Under
Watch out: Not everyone will have until March 31 to comply.You thought you wouldn't face e... Read more
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Check Modifier Assignments Before Processing Appeals -- This Handy Chart Will Help
Same-day procedures don't mean the denial is appropriate -- verify before writing off... Read more
Check Modifier Assignments Before Processing Appeals -- This Handy Chart Will Help
Same-day procedures don't mean the denial is appropriate -- verify before writing off... Read more
You Be the Billing Expert:
Does Ability to Bill the Patient Expire?
Question: Is there a time limit on when you can bill a patient for their balance due after... Read more
Does Ability to Bill the Patient Expire?
Question: Is there a time limit on when you can bill a patient for their balance due after... Read more
Payer Updates:
Look Forward to New EFT Standards, Thanks to Interim Final Rule
Plus, you'll also benefit from claims/payment tracking numbers.You can look forward to an ... Read more
Look Forward to New EFT Standards, Thanks to Interim Final Rule
Plus, you'll also benefit from claims/payment tracking numbers.You can look forward to an ... Read more
Reader Questions:
Capture EpiPen® Kit Pay With J0171
Question: We used the EpiPen® kit in the office for a patient who experienced an all... Read more
Capture EpiPen® Kit Pay With J0171
Question: We used the EpiPen® kit in the office for a patient who experienced an all... Read more
Reader Questions:
No History? Don't Assume Comprehensive Level
Question: Our physician admitted someone as an initial inpatient, but couldn't get all her... Read more
No History? Don't Assume Comprehensive Level
Question: Our physician admitted someone as an initial inpatient, but couldn't get all her... Read more
Reader Questions:
Pay Attention to Month, Not Year, With Birthday Rule
Question: I just received a call from a patient's parent claiming that we didn't follow th... Read more
Pay Attention to Month, Not Year, With Birthday Rule
Question: I just received a call from a patient's parent claiming that we didn't follow th... Read more
Reader Questions:
99241-99255: Keep Consults When Possible
Question: Can we still use "consult" E/M codes?North Carolina SubscriberAnswer: The answer... Read more
99241-99255: Keep Consults When Possible
Question: Can we still use "consult" E/M codes?North Carolina SubscriberAnswer: The answer... Read more
Reader Questions:
Save ICD-10 Codes for 2013
Question: We are getting ready to start billing with the ICD-10 codes but have heard pract... Read more
Save ICD-10 Codes for 2013
Question: We are getting ready to start billing with the ICD-10 codes but have heard pract... Read more
Payer Participation:
4 Tips Help You Successfully Collect for Services When Your Practice Does Not Participate
Hint: Collecting early is often the key.As payer contracts get more and more complicated a... Read more
4 Tips Help You Successfully Collect for Services When Your Practice Does Not Participate
Hint: Collecting early is often the key.As payer contracts get more and more complicated a... Read more
Breaking News:
Not Ready for 5010 Deadline? CMS Has Some Good News For You
Grace period doesn't mean you should relax -- continue your deadline prep.If your pra... Read more
Not Ready for 5010 Deadline? CMS Has Some Good News For You
Grace period doesn't mean you should relax -- continue your deadline prep.If your pra... Read more
Compliance Alert:
Look Ahead to 2013 and ICD-10 Deadlines
Part of your 2012 plan should be prepping for ICD-10 -- Let these six questions guide... Read more
Look Ahead to 2013 and ICD-10 Deadlines
Part of your 2012 plan should be prepping for ICD-10 -- Let these six questions guide... Read more
Correction
There was an error in the last issue of Medical Office Billing & Collections Alert in ... Read more
There was an error in the last issue of Medical Office Billing & Collections Alert in ... Read more
You Be the Billing Expert:
Avoid Automatically Writing Off Secondary Insurance Deductibles
Answer: Most practices do bill the secondary insurance on behalf of patients, but if the p... Read more
Avoid Automatically Writing Off Secondary Insurance Deductibles
Answer: Most practices do bill the secondary insurance on behalf of patients, but if the p... Read more
Payer Updates:
BCBS Rhode Island Rewards High-Quality Care in Hospitals
Plus, CMS decides to pay for obesity prevention services.If you bill for a hospital in Rho... Read more
BCBS Rhode Island Rewards High-Quality Care in Hospitals
Plus, CMS decides to pay for obesity prevention services.If you bill for a hospital in Rho... Read more
Reader Question:
Base Billing Order on RVU Order
Question: I know that as a general rule the highest RVU has a higher billed amount and tha... Read more
Base Billing Order on RVU Order
Question: I know that as a general rule the highest RVU has a higher billed amount and tha... Read more
Reader Question:
Payer Rules Determine Modifier 25 Use
Question: A patient came in for an office visit with the complaint of shortness of breath ... Read more
Payer Rules Determine Modifier 25 Use
Question: A patient came in for an office visit with the complaint of shortness of breath ... Read more