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Hot Topic: Get the Scoop on Proposed MPFS 2019 Changes to E/M Coding and Payment

3. August 2018

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The 2019 proposed Medicare Physician Fee Schedule (MPFS) includes some major potential changes to E/M coding and payment in its 665 pages. Major. Here are the highlights. Just remember that what’s below is proposed and may change before the final rule is implemented. Here’s the Big Payment News About Levels 2-5 Let’s get right to […]

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Chargemaster 101: Quick Tutorial on a Hospital RCM Essential

16. March 2018

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Curious about the world of chargemasters? These three questions will give you a speedy introduction to this crucial revenue cycle management tool used by hospitals. 1. What Is a Chargemaster? A hospital chargemaster, also called a hospital charge description master, lists the billable services and items that a hospital provides to patients. Some of the […]

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The Top Questions to Ask Before You Buy Coding Data Files

8. February 2018

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A lot of the talk around TCI SuperCoder lately has been focused on our recently improved 2018 Data Files and the major financial consequences that can result from an organization’s choice of data files. Why is this choice so important? When it comes to medical codes, data sets have to have the right information in […]

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Did You Catch It? New Year, New Look for CLFS

17. January 2018

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Your 2018 preparations for lab coding aren’t complete if you haven’t looked into the changes to the Clinical Laboratory Fee Schedule (CLFS). Here are some hints from Pathology/Lab Coder to point you in the right direction. Get an Overview of the CLFS Makeover The 2018 CLFS brought a major overhaul to payment for lab testing. […]

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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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