Managing Denials After ICD-10
Healthcare providers will need a denials manager who can track denials and communicate with healthcare payers.
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November 14, 2014
5 Steps To Address The Coding Talent Shortage In 2015
Physician groups, hospitals and coding support companies have been gearing up to address the many changes required to meet the challenges of the upcoming conversion to ICD-10-CM/PCS.
November 13, 2014
Medicare Coding Errors to Avoid: Add-on, Place of Service, and Modifiers
Medicare audits have revealed recurring errors in billing with add-on and place-of-service codes. In addition, Medicare continues to receive claims that appear to be duplicate because they lack an appropriate modifier. Here are some guidelines for correct billing.
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November 12, 2014
Medical Records: Top Secret
MANY readers were shocked by my recent article about Peter Drier, who received a surprise bill of $117,000 from an out-of-network assistant surgeon who helped out during his back operation.
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November 10, 2014
CMS Releases The 2015 Medicare Physician Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) issued the 2015 Medicare Physician Fee Schedule (Medicare PFS) on October 31, 2014.
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November 6, 2014
How To Tell If ICD-10 Implementation Will Be Delayed Again
While Tuesday's election was important for many reasons, none of them have a direct impact on the ICD-10 debate.
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November 5, 2014
CMS Update Policies, Payment Rates for Dialysis Facilities for 2015
On Oct. 31, the Centers for Medicare & Medicaid Services issued a final rule that will update payment policies and rates under the End-Stage Renal Disease Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after Jan. 1, 2015.
November 3, 2014
Examining the Basics of the Health Care Revenue Cycle
The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.
October 29, 2014
How and Where to Look Up CPT Codes for Free
As patients, we don't have the thousands of dollars it costs to tap into the extensive database information required for the entire body of CPT codes. But the AMA does offer us an easy way to look up one code at a time, for free.
October 27, 2014
A Look At The Most Common Medical Bill Coding Errors
Paying medical bills is a huge hassle and expense for companies. With the cost of providing workers compensation coverage for employees rising, it's more important than ever that employers have a cost control process in place to minimize expenses and maximize savings.
October 24, 2014
CMS Withdraws Medicare Secondary Payer Proposed Rule
A proposed rule that was expected to outline how Medicare's interest should be protected in cases of settlements for future medical care was withdrawn Oct. 8 by the Office of Management and Budget.
October 23, 2014
Why Physician Practices Need To Build An ICD-10 Bridge
The ICD-10 mandate may be delayed another year, but providers and EHR vendors shouldn’t view the reprieve as an opportunity to relax.
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October 22, 2014
5 Quick Tips For ICD-10 Compliance
Even though the deadline for ICD-10 implementation is just a year away, many healthcare entities report not being ready. The freshest evidence: A survey released in September 2014 by the…
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October 6, 2014
6 Questions You Should Ask Before Paying Any Medical Bill
Medical billing is wrought with errors and overcharges. Here's how to avoid overpaying. The next time you receive a medical bill, read it carefully. It's not uncommon to be charged…
September 30, 2014
Pharma Pushes CMS for Transparency on Sunshine Database
With just one week left before the launch of the controversial Open Payments database – which will reveal how much money doctors receive from drug and device makers – three…
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September 29, 2014
New ICD-10 Coding System May Cloud Hospital Safety
Changes in how medical diagnoses are coded under the latest international disease classification system – better known as the ICD-10 codes – may complicate the assessment of hospital safety, say…
September 17, 2014
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