Audit Triggers to Watch Out For in 2008
In 2007 the OIG zeroed in on incident to billing claims. The HHS Office of Inspector General plans to issue a report on whether all the requirements for incident-to billing, including direct physician...
View ArticleRVUs Made Easy!
RVUs (relative value units) cause a lot of confusion in the medical billing world when you’re dealing with imaging procedures. It’s really just a matter of listing your services rendered logically then...
View ArticleCommon Varicose Vein Treatments
As more research is done regarding the relationship between varicose veins, blood clots and other complications; more and more patients are having the simple surgery and as a result there has been...
View ArticleEmphysema Diagnosis Coding Tips
Want to know why your emphysema claims aren’t being fully reimbursed? Often, the reason is that you’re lacking two things when you submit your claim. You aren’t being detailed enough with your coding...
View ArticleHome Care Payments Will Be Getting Close Scrutiny in 2008
On October 17, 2007 – the Senate Finance Committee met to discuss ways to pay for a fix to physician payment rates in 2008 and 2009, according to press reports. The heart of the meeting was to talk...
View ArticleReport – HHA’s and Hospices Are Billing Medicare Accurately
A recent report showed that HHA’s (home health agencies) and hospices are billing Medicare on an accurate level according to a report compiled by the CMS’ Comprehensive Error Rate Testing. The report...
View ArticleTips for Getting Maximum Reimbursements for Ulcer Claims
Often, patients who are confined to beds for long periods of time develop pressure ulcers. They are painful and need to be treated as quickly as possible as infections can set up within them that can...
View ArticleOctober Updates Are In Effect!
If you haven’t already, make sure that your staff is using the updated CPT codes that were released in October 2008. Not doing so can lead to kick backs that will require more staff hours to research,...
View ArticleOutsourcing a Dirty Word toYou?
The word “outsourcing” has become a dirty word for many physicians that have been burned by medical billing companies that either outsourced their claims to medical billing companies that use neither...
View ArticleMedical Billing for 92552 And You
Medical Billing for 92552 And You Performing medical billing for current procedural terminology code 92552 can be difficult to distinguish from 92551. These hearing tests are similar, but there are...
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ICD-10 Preparation Steps and Tips for Medical Providers
As a Provider, ICD-10 preparation, and the subsequent upcoming transition can be a bit daunting. The first thing I recommend you do is to assign one individual to be the driving force behind the...
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Deadlines: Regulations on HIPAA Compliance for Physicians
The deadline of September 23, 2013 has come and gone on the calendar. It was on this day the federal government enacted changes to the Health Insurance Portability and Accountability Act, better known...
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Demonstrating the Complexity of Care
SCENARIO: So, you are working at a multi-specialty practice that recently employed a urologist. As the Lead Medical Auditor and a member of the Corporate Compliance Team, you begin to worry about the...
View ArticleThe Latest Details on HIPAA Compliance Audits
Deven McGraw, deputy director of the Department of Health and Human Services’ Office for Civil Rights has announced that the department’s plans for initiating onsite audits is currently on hold and...
View ArticleAre Biometrics the Future of HIPAA Security?
Medical electronic health records, or EHRs for short, may have the potential to be much more secure than conventional records. That sounds like a bold claim in light of news about data breaches...
View ArticleMIPS: The Day of Reckoning
One of my favorite books is The Big Short by Michael Lewis. It was eventually made into a movie by the same name and gives a clear view of the housing bubble that burst 10 years ago and pushed the US...
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