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Do You Land in the Winner Column for MPFS 2019?

6. December 2018

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For the 2019 Medicare Physician Fee Schedule (MPFS), we’ve talked about E/M and a bit about remote monitoring. But now let’s take a general overview of the ups and downs expected for individual specialties. Know Where to Find the Info and What It Means Table 94 of the 2019 MPFS final rule is titled “CY […]

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3 Tips to Keep Patient-Payment Collection Humming Along

13. November 2018

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Filing third-party claims is a big part of the business of medicine, but collecting payment from patients is also crucial to a healthy organization. There are challenges, though. Check out these tips on steering clear of problems and on handling those issues that do come up. 1. Have a Policy and Let Patients Know You […]

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Smart Move: Know These Top Medicare Denial Reasons AND How to Avoid Them

10. October 2018

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  Let’s put data to work to help prevent denials! CGS is one of the Medicare contractors that provides information on top claim denial reasons, and here we’ll take a look at some denial triggers from August 2018 and how you can prevent them. Check Status Before Reporting Duplicate Service Reporting the exact same service […]

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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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