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Get the Latest on Changes to Medicare’s 2019 History Documentation Requirements

20. December 2018

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We’ve been talking a lot about the 2019 Medicare Physician Fee Schedule final rule, but when there are changes to E/M rules, there can never be enough information, right? CMS recently released a response to a question that arose during a provider call about what parts of history ancillary staff or the beneficiary can document […]

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Pop Quiz: Test Your Assumptions About QPP 2019 Payment Year

10. December 2018

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Understanding the Medicare Quality Payment Program (QPP) is tough. But the data Medicare released from the 2017 performance year shows you were up for the challenge. And that’s good news because the 2017 performance year affects 2019 Medicare payments and maybe has helped you prepare for the 2019 performance year, too. Let’s see how you […]

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Language Lesson: Add These Terms to Your MIPS 2019 Glossary to Save Research Time

4. December 2018

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When MACRA and MIPS come up, does it feel like speaking another language? For the 2019 performance year, there are even some new terms to learn. We’ve got the new language and tips on where you’ll see it used so you don’t have to spend time searching. Collection Type: Apply to Sets of Similar Quality […]

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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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