Tag Archive | "Medicare"

Don’t Get Too Comfortable With That Meaningful Use Payment – Here’s Why

Tuesday, June 20, 2017

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When the title of an OIG report is about Medicare paying out hundreds of millions it shouldn’t have, that’s not great news for Medicare or the providers who got those funds. But that’s exactly what a report released June 12, 2017, says: “Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did […]

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3 Things You Can Do Today to Prepare for a RAC Audit

Wednesday, June 7, 2017

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What’s the first think you think of when you hear Recovery Audit Contractor? RACs have been around for a while (and not without controversy) as part of a Medicare program to find and correct past improper payments. Even folks who don’t get nervous at the thought of an audit probably don’t look forward to the […]

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

Tuesday, April 4, 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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Haven’t Started MACRA QPP Prep? There’s Still Time!

Friday, February 3, 2017

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Groundhog Day has come and gone, and Punxsutawney Phil has declared six more weeks of winter. That gives you plenty of inside time to focus on getting up to speed on MACRA so you can participate in 2017. Remember: With CMS’s Pick Your Pace approach to the Merit-based Incentive Payment System (MIPS), it’s OK if […]

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The Quick, CMS-Approved Way to Avoid a MACRA Penalty

Tuesday, November 29, 2016

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If you’ve been trying to wrap your head around MACRA for a while, you may be at the point where you’re willing to give up hopes of a bonus if you could just be sure you won’t face penalties. Good news: As long as you submit a little something to the Quality Payment Program, you won’t […]

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

Friday, October 21, 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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5 Quick Tips to Improve Your Portable X-Ray Coding and Avoid Denials

Friday, July 15, 2016

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Completing Medicare claims for portable X-ray services can be tricky with some unexpected twists. These five tips will help keep your coding on track. 1. Choose the Right HCPCS Portable X-Ray Transportation Code To report the transportation of your portable X-ray equipment and staff, choose from two codes: R0070, Transportation of portable X-ray equipment and […]

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Time for Third Quarter NCCI Edits!

Monday, June 20, 2016

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July 1 is approaching fast, which means it’s time for the third quarter updates to the National Correct Coding Initiative (NCCI) Edits. Version 22.2 of the NCCI edits take effect on July 1, 2016. You can download the July hospital and practitioner procedure to procedure (PTP) files at the CMS site here. You can grab […]

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Adjust to Modifier JW Change by January (Not July)

Thursday, June 16, 2016

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For years, Medicare has had a rule that lets local MACs decide whether their providers have to use modifier JW (Drug amount discarded/not administered to any patient). All that is about to change. Effective Jan. 1, 2017, Medicare will require modifier JW use by all providers for discarded Part B drugs and biologicals. The implementation […]

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Master the Art of Working With—Or Around—Problem Payers

Tuesday, June 19, 2012

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Follow this 3-step path and get results from every payer. At some point in her career, every biller deals with them. They are problem payers — and they can wreak havoc on your billing and on your practice’s income. Payment delays, improper denials, and claim rejection errors cause more work for you and can be a serious hurdle in getting the […]

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