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3 Easy Steps to Finding the Right E/M Level Using an E/M Calculator

15. November 2018

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Have you checked out our free, new E/M Calculator yet? Using it is straightforward, but having a guide can be handy when a tool is new. Here’s how it works. 1. Access the E/M Calculator If you’re going to use a tool, the first step is to get to it! If you aren’t a subscriber […]

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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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Drum Roll: What Does MPFS 2019 Final Rule Say About E/M?

5. November 2018

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Medicare released the CY 2019 Medicare Physician Fee Schedule (MPFS). One of the big questions from the proposed rule was whether E/M payment rules would change. Here are some highlights on what made it into the final rule for E/M and what didn’t. The News You’ve Been Waiting for … The proposal to combine payment […]

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Ask Yourself These Questions When Working Appeals

29. October 2018

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Sometimes it’s the simple things that can help your appeal for a medical insurance claim. Work through these questions to be sure you’re giving a claim its best chance. Did You Cite the Claim? You may get your appeal back if you don’t make it clear which original claim you’re referencing. Plenty of coders and […]

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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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Do You Know the Answers to These Medicare Disaster Relief Questions?

3. October 2018

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Because of Hurricane Florence, CMS issued several waivers in North Carolina, South Carolina, and Virginia to help with access to healthcare. Even if you’re not in an affected area, this should be a reminder that disaster prep isn’t just about working in theory. You need to understand it well enough to apply it. Below you’ll […]

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Provider Change Practice? Understand 2019 Payments for MIPS 2017 Performance Year

4. September 2018

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With 2018 being in its last half, questions are coming up about MIPS payment adjustments in 2019 based on the 2017 performance year. One topic of interest is what happens if a clinician moved from one practice to another. Here is an answer, straight from the CMS Fact Sheet on 2019 MIPS payment adjustments based […]

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Top Nuances to Know for the Medicare Card MBI Roll-Out

6. August 2018

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Medicare began mailing out new cards in April 2018 to meet the deadline of replacing Social Security numbers/Health Insurance Claim Numbers (HICNs) with Medicare Beneficiary Identifiers (MBIs) by April 2019. Here are some tips you may have missed to help you with the transition. Don’t Use the Dashes! On the new Medicare cards and in […]

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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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3 Things to Know About Advanced Practice Providers in Your Practice

20. July 2018

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Advanced practice providers (APPs), sometimes known as non-physician practitioners (NPPs), are essential members of the healthcare team and serve a lot of roles. But, of course, “essential” doesn’t mean they’re always easy to code for. Make sure you keep these top pointers in mind when you’re completing claims for APPs, such as physician assistants, certified […]

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