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.…
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…
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Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date.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…
A longtime problem in workplaces around the world received international attention earlier this week, as the World Health Organization (WHO) announced it would be updating its definition of "burnout" to…
The hospital chargemaster is the heart of the revenue cycle, capturing the costs of every billable service or item delivered at the organization. To keep the heart pumping, providers are…
Not all individuals have the same illnesses, and even for the same chronic diseases, how any patient is affected varies. In determining payments for care, Medicare introduced modifiers to gauge…
The clock is ticking, and you’re trying to select the right E/M level from a drop-down menu in the EHR. Choose a level that’s too high, and you run the…
Billing and coding is always a challenge, but optometrists new to the field of neuro-optometric rehabilitation can find it doubly so, because the charting notes required are very different from…
ICD-10 is a set of around 70,000 diagnosis codes. ICD stands for International Statistical Classification of Diseases and Related Health Problems. The verbosity of the name is foreshadowing. Some of…
With the implementation of the Patient-Driven Payment Model (PDPM) fast approaching, now’s the time to prioritize your ICD-10 training, as proper diagnostic coding will become crucial to keeping your skilled…
For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste,…