Practice Management Alert
CMS Doesn't Currently Require Billing Certification
Question: Nevada Subscriber Answer: "CMS is not requiring any billing certification," confirms Barbara J. Cobuzzi, MBA, CPC, CENTC, CPCH, CPCP, CPC-I, CHCC, president of CRN Healthcare Solutions, a consulting firm in Tinton Falls, N.J. "Only one state -- and it is the state government -- Hawaii is requiring coding certification, not billing, when dealing with government claims, and this is not a CMS requirement." In Hawaii, "the certification required is named as a coding certificate from AAPC, AHIMA, PHIA, or one similar," agrees Leslie Johnson, CCS-P, CPC, manager of coding, compliance, and education at Somnia, Inc. in New Rochelle, NY in New Rochelle, N.Y. More information:
Practice Management Alert
- Reimbursement Roundup:
Don't Overlook Waiver Opportunities -- 3 Steps Ensure Compliance and Patient Payment
Hint: Documented financial hardship is your key.You've heard the mantra over and over -- never waive [...] - Version 5010 Update:
Watch Out for 5010 Glitch -- Don't Expect Your Vendor to Solve the Problem
Check on your address fields now -- before mistakes on your claim forms threaten to halt [...] - Clip and Save:
Avoid Legal and Financial Disaster By Getting Financial Hardship Agreements in Writing
Tailor these sample forms for your practice quickly and easily.Every practice has dealt with it [...] - Key Version 5010 Reminders
Version 5010 will replace 4010/4010A1 for electronic transactions, including claims, eligibility inquiries, and remittance advices. [...] - You Be the Billing Expert:
Another ABN Update? Here's the Scoop
Question: I recently heard there is another ABN update that we need to comply with. [...] - Reader Question:
CMS Doesn't Currently Require Billing Certification
Question: I attended a conference recently and a speaker said that CMS is or will [...] - Reader Question:
Downcoding Is Just As Bad As Upcoding
Question: Texas Medicaid only will authorize a PET neck to mid thigh (78815) and will [...] - Payer Updates:
AMA Report Card Ranks Payers, Finds 19.3 Percent Claims-Processing Error Rate
Plus, you received no payment at all on nearly 23 percent of claims submitted to [...]
