Search Results for: medicare

Correct telehealth billing and coding can produce significant revenue for your practice. But in 2024 this will be harder than ever. Get proven tactics to more successfully bill and code telehealth services & get paid more.

Get payers to overturn more of your denied claims so that you can receive more of the reimbursement you are due. Expert reveals proven appeal letter writing strategies and templates to quickly get more of your denied claims paid.

CPT code 99211 can pay you more for nonphysician services – if you know how to use it correctly. Get the step-by-step guidance you need to correctly and compliantly use this valuable code to earn thousands more.

Both commercial and government payers make provider enrollment more complex than it needs to be, but you’ve got an expert on your side. Get the proven tactics you need to providers approved faster and start getting paid sooner.

Get paid more for the chronic care management, remote patient monitoring and principal care management services you provide. Master 2024 code changes (99424-99427, 99439, 99454, 99457, 99490-91, etc.) during this online training.

The Sunshine Act requires vendors to post provider financial relationship info before you see it. If it’s wrong, you must quickly identify and dispute errors to avoid being hit with the negative consequences. Training shows you how.

Inpatient coding is more complicated every year. E/M rule changes and CPT adding services into 99221-99239, it’s even more difficult to get paid. Proven tactics help you select the right hospital E/M code with this expert training.

Using your provider’s login to manage Medicare enrollment violates CMS rules. Enrollment expert, David J. Zetter, provides practical tactics to help you comply with CMS requirements for PECOS surrogacy management.

CMS is updating its enrollment system with Medicare PECOS 2.0, and if you want to continue being able to enroll and credential your providers, you must master the changes. Prep now with this exclusive sneak peek of the new system.

Offering professional courtesy discounts to fellow providers or discounting patient fees may be perfectly legal – if you do it right. During this online training, you’ll get the tools to avoid law violations and the penalties that follow.

New Prior Authorization Final Rule markedly changes this complicated process. This expert-led online training helps you implement tactics today to improve patient care and the reimbursement you receive.

Medicare’s 855I enrollment form has changed again. This makes it harder than ever to navigate your provider enrollments and get paid. Get expert advice to master these changes during this 60-minute online training.

About 83% of your non-Medicare/Medicaid claims are governed by ERISA regulations. However, payers don’t want you to know how to apply these rules to take control of your reimbursement. This training shows you how.

Avoid violating Balanced Billing Laws with step-by-step advice from expert Rachel V. Rose, JD, MBA. She’ll help you head off preventable out-of-network, financial hardship, and write-off errors that can cost you millions in penalties.

In 2024, Medicare will reimburse you $16 more per E/M visit if you correctly apply G2211 CPT code to your claims. But to do so, you must master new complicated rules. Get expert advice that will help you decipher how and when to apply G2211, along with other critical E/M changes.

Credentialing and enrollment 101 for physician practices. Step-by-step strategies to help you master credentialing and enrollment basics to avoid errors and ensure that your revenue keeps flowing.

As of Jan. 1, 2024, marriage and family therapists (MFT) and mental health counselors (MHC) can qualify as Medicare providers. To make this happen, learn how to correctly submit their application in the PECOS enrollment system.

Avoid common/costly errors and meet requirements of provider credentialing and enrollment online sites with practical advice from national expert, Tracey Tokheim. Improve your accuracy and results while reducing headaches.

The 2024 CMS Fee Schedule features a conversion factor cut, so you must master new codes like G2211 if you want to keep your income flowing. This online training session can help you keep bringing in cash.

Medicare provider enrollment application denials can lead to time-consuming, expensive delays in your reimbursement. Don’t let this happen to you.  Use expert tactics from this exclusive online training to reduce enrollment denials.

When onboarding a new physician into your practice, your process must be flawless. A simple mistake can result in sever reimbursement delays – or worse, payer rule violations.  With this online training you’ll get it right the first time.

Cut through the confusion of when a Medicare ABN (Advance Beneficiary Notice) form is considered mandatory or voluntary. Get it wrong, and your practice could be hit with costly, time-consuming audits, recoupments, and fines.

The rural health clinic billing rules are often mired in bureaucratic red tape — and if you don’t hit every step along the way, you won’t get paid. Discover the key billing and coding strategies that can help you boost pay with this expert training.

CMS has plowed through their appeals backlog, opening their doors to reimbursing your claims FASTER. Get expert tips on winning appeals strategies that convince Medicare and private payers to give you the cash you deserve.

Proven strategies to help you reduce lost revenue from patient no shows without increasing your legal risk. Learn specifically what actions will and won’t get you into legal trouble as you work to reduce patient no shows.

Cut through the confusion of incident-to supervision rules to boost your Medicare reimbursement for midlevel provider services. This online training will provide you with step-by-step tactics to comply and get paid more.

The Supreme Court made major updates to how False Claims Act violations are identified, and if your practice isn’t ready, you could face massive fines. This expert online training will provide actionable strategies to stay compliant.

CMS revalidation rules are confusing. Get them wrong and you risk being deactivated from Medicare and not getting paid. This training walks you through the entire provider Medicare revalidation process and helps you get it right every time.

Modifier 59 is among the most frequently used modifiers, but also one of the most often denied. Halt those denials and bring in the pay your practice deserves with these essential modifier tips.

Bundling is a major source of denials, but you can fight back. This online training helps you overturn bad denials due to 2023 NCCI Edits and RVUs. Master the 2023 NCCI edits to reverse bad denials and improve your revenue.

Get paid more for treating patients with chronic pain – learn to correctly apply new 2023 codes G3002 & G3003. Online training shows you how to code these services (G3002/G3003) more accurately & get higher reimbursement.

It is easy to violate the Anti-Kickback Law when referring patients to outside providers, facilities, or services.  Even a simple referral mistake can lead to massive penalties. Get expert help to protect your practice from referral errors.

Combat non-Medicare and Non-Medicaid denials with proven ERISA appeal letter writing strategies. Online training helps you get more claims paid.

Before you start charging patients extra for the additional time it takes to refill prescriptions, you must have a handle on how to implement these fees correctly. You can compliantly get paid for prescription refills – find out how.

Correctly billing self-pay patients is more important now than ever. Self-pay patient numbers are rising due to the May 11 PHE expiration. This training will help comply with self-pay billing rules and keep you out of trouble with the Feds.

Medicare has unleashed RAC auditors to uncover errors and collect back improper payments (take your money). This training will help you prepare for and respond to a RAC audit to keep more of the money you’ve earned.

Quickly get more of your denied claims paid with proven payer appeal strategies. The key is mastering the nuances of your appeals process by cutting through the red tape. Find out how…

Split/shared and incident-to billing rules have always been confusing, and they’re about to get even more vexing, due to new 2023 rules. Collect 15% more for your APP’s services by mastering the new rules during this training.

You can stop providing administrative services to your patients for free. Many payers allow you to charge patients for these cash-only services if you do it compliantly. This expert-led online training will show you how.

You can negotiate with third-party payers to increase your reimbursement – if you know how. This expert-leg online training will provide you with step-by-step contract negotiation strategies that word. Start getting paid more today.

Complying with recent changes when billing for out-of-network and uninsured patients is more complicated due to recent rule changes. Learn how to comply before the audits begin. Sign up for online training today.

Updates to federal guidelines for 2023 mean it’s more important than ever to offer FREE translation services to an LEP patient. Master the new legal requirements to stay on the right side of the lawsuit.

Any number of simple daily tasks performed at your practice can easily lead to a False Claims Act violation and get you sued. This free online training, led by healthcare attorney, can help you protect your practice.

Billing for patients who have both Medicare and Medicaid is confusing. It’s easy to violate these complex federal & state regs and end up in a legal nightmare. Master how to stay compliant during this expert-led training.

Mishandling an employee concern or complaint can turn them into a False Claims Act whistleblower. Get proven strategies to protect your practice from an FCA investigation and the massive penalties that can result. Register today.

Get the tactics you need to make utilizing the CMS PECOS online Medicare enrollment and credentialing system less confusing and more accurate. Attend this training for practical, expert advice so you get it right the first time.

Billing patient directly may be your best bet of getting paid for commercial payer non-covered services, but you should NEVER do so without the correct forms on file. Attend online training to master non-covered services billing.

How you identify and code patient risk matters on your Medicare Advantage and ACA claims. Missing eligible diagnoses means you can be paid, and you can be paid thousands less than you deserve.  Register today.

The Stark law and Anti-Kickback Statute require DME prescribers and suppliers to walk a fine line. But if you implement tips from the OIG’s NEW guidance, you can avoid $25K+ fines or jail time that can impact even careful providers.

You depend on accurate medical coding to keep your practice’s reimbursement flowing — and though it’s not vital for everyone to know HOW to code, it is important to get a basic understanding of coding to preserve your income.

Outpatient payer audits are skyrocketing in 2022. To survive you must be prepared. Get practical, real-word strategies to help you identify and resolve medical record hot zones in your practice – before you get audited.

If your practice has made a compliance mistake, properly utilizing the OIG’s self-disclosure and refund procedures are essential to avoiding hefty penalties. Get step-by-step guidance to these processes in this online training.

If you want to get paid, prior authorizations are a necessary evil. They put an intense burden on your practice, staff, patients, and you.  You can reduce the time they take and improve your overall approval rate with some expert help.

Master Medicare’s complex clinical trial billing requirements for practice-based services. This targeted, expert-led online training will help you reduce denials, improve reimbursement and avoid an audit.

You don’t have to settle for the terms and payment amounts in your payer contracts. Implement these proven strategies to negotiate a better deal, keep the plans you what and know when it’s time to get out. Signup today.

Out-of-network collections are complicated. Successfully negotiating with payers, communicating with patients and getting paid what you are due is possible if you know how. Sign up for this expert-lead online training to find out how.

Master proven strategies to get payors to overturn your contract deactivation.  This expert-led online training will walk you through each step and help you head off lost patients by reactivating your contract.

Incorrect usage of your NPPES account is critical. You must comply with requirements to get your claims paid and avoid violation penalties. Learn to successfully register, maintain, and navigate through your NPPES profile.

Overcome Medicare Enrollment complexities and confusion when adding, reassigning and terminating providers from your practice. Find out how to get approved more quickly, avoid compliance violations and get paid faster.

You are required to comply with Medicare Advantage overpayment regulations.  This means you MUST be able to clearly identify overpayments, and correctly respond to avoid costly violation penalties.

Improve the reimbursement you receive from your Locum Tenens, Contracted and Fee-for-Time Providers with coding and billing tactics, provided by national expert, Lamon Willis, CHCO, CPCO, CPC-I, COC, CPC.

Avoid common CMS 1500 Claim Form error that lead to delayed payments or completely rejected claims. Expert biller provides you with step-by-step advice that will get you paid faster and more accurately.

Security Expert, Steve Wilder, BA, CHSP, STS, helps you shield your practice from everyday dangers with an easy to implement Hazard Vulnerability Assessment.

Incorrect Medicare ABN forms makes patients unhappy, and you unable to collect.  How you communicate, estimate cost, and use modifiers is being watched. This payment protecting report teaches you to get it right.

Learn how to more easily identify what is missing from your provider documentation and keeping your claims from getting paid. You’ll also and better communicate with them to get what you need. These skills will help you improve your patient record accuracy and ethically maximize your claim reimbursement.

Your practice is not immune to the devastation of a natural disaster. Don’t make the mistake of not being prepared. It’s not just about preparing for the event. There are actions you can take today to improve…

As Medicare and private payers continue to go after reimbursement paid in error, the chances you’ll get audited has increased. Auditors can dig through your previously filed claims for a “look back period” of 6 YEARS…

Even if your Medicare claim appeal is denied (twice), you still have a chance to get your claim paid. The next level of appeal is called an Administrative Law Judge (AL J). Knowing whether you should request a…