Even though they may have health insurance, growing numbers of Texas consumers are getting unexpected bills from doctors not in the consumers’ health care network. A public policy group told…
Q: Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing…
The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that…
CMS' Medicare Access & CHIP Reauthorization Act of 2015 replaced the current Meaningful Use, Physician Quality Reporting System and Value-Based Payment Modifier this year. Under MACRA, physicians can participate in…
Q: Much to our surprise, the transition to ICD-10 continues to go relatively smoothly. Our organization has had minimal denials and delays in cash flow. Is our experience unique, or…
As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10. We are sharing these insights…
When you’re an entrepreneur, you do a lot of searching for the right candidates to join your team. Hiring takes up a tremendous amount of time, so one of the…
Louisiana posted the highest rate of Medicare being overbilled for services in the nation in 2015, with providers charging an estimated $1.25 billion more than they should have, according to…
Physicians often say they feel like the rules, standards and policies regarding the way they practice medicine change all too frequently. In 2016, there are several key issues physicians should…
Some experts are predicting a large spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking…
Helping patients meet their financial obligations will, in turn, allow healthcare organizations to protect their valuable revenue streams in a time of financial change. With the ICD-10 conversion behind us,…
Just as the Ice Age eventually ended, so has the ICD-10 coding freeze. CMS recently announced that roughly 6,000 new codes will be added this October, which will be the…
The reason that there has been such a large rise in codes for the ICD-10 coding system is due to a partial freeze that occurred before the implementation deadline on…
Just how safe is the cloud and can we trust online software to keep sensitive medical billing data secure from a breach? In theory, the cloud is supposed to do…
Businesses, counties and municipalities could see a potentially significant increase in workers’ compensation benefits under legislation introduced in the House of Representatives involving permanent partial disability awards that have been…
SPELLING OUT MEDICAL NECESSITY Q: Does a diagnosis code alone support medical necessity for lab tests? Shouldn’t there be something in the note documenting a sign/symptom or current status of…