Did you know that those new RAC auditors out there get their paychecks ONLY if they find coding and billing mistakes that mean your practice owes Medicare money?
Deb Grider tells you what mistakes the RAC contractors are looking for.
Posted on 24. Dec, 2008 by in Provider News.
How much help from the government can you really expect in the next few years as you try to move your practice to adopt information technology?
Industry groups are working with President-elect Barack Obama to help him meet his campaign promise of $10 billion a year for five years toward healthcare IT. And one trade group wants to make sure that the next healthcare stimulus package includes …
You can be your practice’s hero in 2009. Reduce the risk of treating a patient whose insurance won’t pay with this handy form that captures every insurance detail.
More tips for the first spin in your revenue cycle.
Posted on 24. Dec, 2008 by in Hot Coding Topics.
The $88 fee cut makes coding right the first time more crucial than ever.
Cardiology coders have been buzzing about a new instruction in CPT 2009′s “Echocardiography” section — you may no longer report your trusty echo code 93307 with spectral (+93320, +93321) and color flow (+93325) Doppler. What does this change mean for you in 2009? Here’s what you need to know… More …
Extra: A stent in the LAD, an atherectomy on the LAD, and a balloon angioplasty of the circumflex marginal. Would you code the atherectomy? 2009 Cardiology Surival Guide reveals the answer.
Question: A physician plans to offer vasectomy in an ambulatory surgical center (ASC). How should you report this?
Answer: You should report a vasectomy using 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]: APC 0183, ASC Payment Indicator A2). The code includes the local or regional anesthesia necessary for the procedure.
The physician normally performs the procedure, which involves cutting the vas deferens and suturing the ends, on both the left and right sides. Because the code descriptor specifies unilateral or bilateral, you should not apply modifiers or report multiple units for a bilateral procedure.
Is 99211 your favorite code? Watch out. According to Medicare, a full 15 percent of 99211 claims submitted to Part B for this code in 2007 were missing critical documentation, causing Medicare to request more than $20 million back from providers.
Will CMS be looking for a part of that money back from your practice next year? Susan Berman-Hvizdash teaches you to avoid 5 E/M documentation gaffes, and get the payment you deserve.
Your Self-Pay Collections Could Be 300% Better
If your collections efforts from self-pay patients have been a little off, you may think there’s not much room for improvement — but you couldn’t be more wrong.
A recent study found that the best self-pay collectors outperform the worst self-pay collectors by approximately 300 percent.
But even the best business offices have areas where they can improve. more…
Still mining for money. Get little-known appeals secrets from Barbara Cobuzzi.
Use this chart to keep your vaccination coding straight for Medicare and other insurers.
If your head spins when you’re faced with the multiple combinations of flu shot codes — split virus? Live? Preservative-free? Intranasal? — we’ve got just the solution. You can choose the best CPT and ICD codes for your doc’s work if you match the administration code to the flu vaccine code.
More immunization coding tips.
What coders and billers must know before March 1, 2009.
Almost a year ago — March 3, 2008 — CMS implemented its revised Advance Beneficiary Notice of Noncoverage (ABN) (CMS-R-131). Providers and suppliers could choose whether to use the new form or continue filing the familiar ABN-G, ABN-L, or NEMB forms, but those days are numbered. Although your office should have made the change during the six-month transition period, the ABN-G and ABN-L forms will no longer be valid beginning … More …
Deb Grider Gets You Up to Speed on the New ABN & Medical Necessity Rules.
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