The Patient Driven Payment Model is bringing new importance to the ICD-10-CM code set for SNFs. Here’s where the diagnosis codes will come into play. Get a Quick Overview of…
The purpose of D5994: Perio Protect is a prescribed medical device used to treat patients who suffer from periodontal disease. The device is lab-created and used as a “tray” to…
Coding is a major determinant of what dermatologists bill and what they get paid, so it’s critical to keep up with changes to be both compliant and accurate, says Mollie MacCormack, M.D., and…
In an effort to reduce healthcare disparities, the American Medical Association (AMA) recently vowed to support the creation of new alternative payment models that specifically address the outcomes of high-risk…
When the Patient-Driven Groupings Model (PDGM) launches Jan. 1, 2020, leveraging tools and resources to ensure compliance will be critical to a successful transition. Home health care providers already have…
Audits can be an unfortunate reality of practicing medicine. The good news is that as long as you are practicing and coding correctly, you have nothing to fear should you be audited. There…
That’s the contention of the Department of Health and Human Services’ Office of the Inspector General. An OIG audit discovered 34,664 Medicare claims that contained diagnosis codes indicating the treatment…
There are nine different Multiple Procedure indicators on the Medicare Physician Fee Schedule (MPFS), meaning there are a lot of payment adjustment possibilities you need to know. Here’s each indicator,…
5 Qualities the Best Medical Billing Companies Have 1. Support for Specialty Practices It is important to make sure medical billing companies under consideration have intimate knowledge about your specific practice.…
Did you know that medical billing and coding is expected to grow at a rate of 13% for the next 7 years? That’s much higher than the average of 7%! You…
Private practice lays the responsibility for operations and financial management of the practice into the hands of physicians. That’s a responsibility is a topic that too often goes unaddressed in…
According to a Healthcare & Business Technology report regarding medical billing, almost $125 billion in uncollected revenue happens each year due to: 1. medical billing errors, and 2. failure to…
BCPI Advanced Model - The Basics As of early October, the Centers for Medicare & Medicaid Services (CMS) began to implement the Bundled Payments for Care Improvement - Advanced Model.…
Do you know what your practice’s clean-claims submission rate is? Because if it’s not currently 95% or above, you’ve got work to do. Claim rejections are costly. Anything lower than…
Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date. But do you know how often you need to update…
It’s a compelling question; Are EHRs responsible for low provider productivity compared to when they were using paper based records in 2009. Providers often hold the complicated EHR systems responsible…