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60 Days & 6 Years: The Numbers to Know to Comply With Medicare’s Overpayment Rule

4. April 2017

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You get a fairly clear picture of what this rule is about from its name: Medicare Reporting and Returning of Self-Identified Overpayments. If you discover Medicare gave you too much money, you have to give it back. But there are some layers here, so let’s dig in for a refresher on some of the more […]

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How to Code Tubal Ligation With Cesarean and Other Top Tips

1. November 2016

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CPT® provides a surprising number of options for coding tubal ligations, informally known as a patient having her tubes tied. I’ve pulled three tips from one of our more popular Ob-Gyn Coding Alert articles that provide some expert insights into getting these claims right, focusing on some areas you may not have considered. Helpful hint: […]

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Disasters Happen: What Does Your Medicare Contractor Want You to Do Next?

21. October 2016

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I’m feeling pretty lucky. When Hurricane Matthew blew through my town a couple of weeks ago, the worst I experienced was a three-day power outage and a flooded basement. Plenty of others nearby faced much worse. My town is several hours from the coast, so the degree of destruction took most of us by surprise, […]

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Keep Patients Happy and Your Bottom Line Healthy by Avoiding Billing Errors

24. June 2016

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Medical billing errors. Not only do they cost your practice money, they also infuriate patients. But often these billing errors are easily preventable. Read on to find out how. Prevent Registration Errors to Help Avoid Billing Errors Mistakes during patient registration cause claims denials in medical office billing – and inaccurate patient demographic information can […]

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Is Your Revenue Cycle Circling the Drain? Review These Steps to Foster Success

21. June 2016

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Healthcare organization revenue cycles can be complex and difficult to manage because each phase of the cycle runs slightly differently while still being inextricably linked to each other. Yet revenue is integral to a practice’s continued health. How can you manage the intricacies of a medical revenue cycle efficiently and effectively? Let’s review the parts […]

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How Will Changes to the Physician Fee Schedule Affect Your Practice?

10. June 2016

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Did you remember to check the Medicare Physician Fee Schedule Database (MPFSDB) for July? CMS implements the changes on July 5, 2016, but some of the changes will be effective back to Jan. 1, 2016. Check Out Key Changes in July Update CMS requires Medicare Administrative Contractors (MACs) to amend payment files to conform with […]

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Hit the Bull’s Eye With Trigger Point Coding

3. June 2016

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Triamcinolone acetonide, a corticosteroid medication often sold under the brand name Kenalog, can be used both as a topical ointment and as an injectable. This popular medication has many uses, including trigger point injection. What Are Trigger Points? Physicians often use Kenalog for trigger point injections to treat conditions like myofascial pain syndrome. Trigger points, […]

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Look Over the ABCs of Coding for ASCs

1. June 2016

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  Curious what it’s like to be an ambulatory surgery center coder? Though ASC coding has many similarities to provider and hospital coding, it’s just a little different from what you’d do for a physician or a facility. Ambulatory Surgery Centers Defined In Medicare’s eyes, ASCs are distinct entities operating only to furnish outpatient surgical […]

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Getting Paid for Your Non-Physician Practitioner’s Services With Incident-To Billing

29. April 2016

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As the number of physicians shrinks and the demand for healthcare expands, practices seek solutions to their patient care needs — and many have found it by hiring non-physician practitioners, or NPPs. Physician assistants (PAs) and nurse practitioners (NPs) fill the gaps caused by physician shortages in primary care. In fact, a recent Brandeis University […]

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Follow the Guidelines for Diabetic Foot Care Coding

8. April 2016

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With the susceptibility diabetics have for losing feeling in their feet — a condition called loss of protective sensation, or LOPS — good foot care is vital for people with diabetes. When people develop diabetic sensory neuropathy and LOPS, they may be unable to feel when a stone gets lodged in their shoe, or if they step […]

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