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Prolonged services

RACs Add Prolonged Services to Audit List: Find out Why

When your E/​M visit lasts longer than expected and you want to account for your provider’s additional time, you might reach for a prolonged service code. Just be sure to double-check which code pairs you report together, because the recovery audit contractors (RACs) are watching. Background: Earlier this year, Part B RAC Cotiviti added a […]
Published Date: June 20, 2023
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Communication barriers

How to Overcome 5 Communication Barriers at Your Practice

Great patient service at your medical practice starts with excellent communication skills, and that goes far beyond smiling and greeting patients when they come through your door. You must also know how to anticipate potential communication barriers and create strategies to overcome them so every patient leaves your practice feeling great about the care they […]
Published Date: June 19, 2023
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Patient collections

5 Ways Practices Can Collect More From Patients to Bring in Cash

Medical practices spend hours every week working with insurers to collect reimbursement—but a much less discussed method of bringing cash into your practice is to maximize the money you bring in from patient collections. Ensuring that you collect copays, coinsurance and deductibles allows you to get the most reimbursement possible. Check out five ways to […]
Published Date: June 14, 2023
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OSHA inspections

Avoid Penalties and Fees With OSHA Inspection Best Practices

Medical practices are increasingly becoming targets of OSHA inspections, and penalties are rising for practices that are found to be in violation. During an inspection—whether it’s a surprise or pre-scheduled—the inspector will review your paperwork, look at electronic documentation, check out medical and lab equipment for safety, and probably take photographs and videos. And if […]
Published Date: June 13, 2023
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telehealth

How to Update Your Telehealth Security With the PHE Over

As most practices are aware, the COVID-19 public health emergency ended on May 11, 2023, and with it came the end of relaxed HIPAA rules for providers meeting with patients over telehealth. The Office of Civil Rights (OCR) has given providers a 90-day flexibility period to ensure telehealth systems and practices are in line with […]
Published Date: June 6, 2023
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Chronic pain

G89 Series: How to Select the Best Chronic Pain Diagnosis Code

When CMS introduced chronic pain management codes G3002 and G3003 effective Jan. 1, practices rejoiced at the new options. But coverage for these codes, as is the case with all medical claims, hinges on medical necessity. And the best way to demonstrate that is to report the most accurate ICD-10-CM codes. To correctly identify the […]
Published Date: June 5, 2023
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Patient referrals

3 Ways to Spot Potentially High-Risk Patient Referrals

The government maintains a very broad definition of “referrals,” which means practices have to work harder than ever to avoid Anti-Kickback law violations. Every time you refer a patient somewhere, you’ve got to have your eye on whether it’s a compliant referral to avoid accusations of wrongdoing. One way to stay on the straight and […]
Published Date: May 31, 2023
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Evaluation and management

Report Reveals Whether E/M Changes Freed up Provider Time

When the CPT rules changed in 2021 and the evaluation and management (E/​M) coding requirements were overhauled, one of CMS’ goals was to cut back on the documentation burden that providers faced. By choosing E/​M codes based on time or medical decision making (MDM) for outpatient visits, the idea was that providers would have more […]
Published Date: May 31, 2023
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Introducing a New LOOK for Your On-Demand Training Access …

Effective Tuesday, May 30, accessing your on-demand training(s) will have a whole new look and feel. We hope this new design will make it easier for you to navigate to your on-demand video recording, as well as access related training materials, such as the presentation handouts. See below for more details on these changes going […]
Published Date: May 25, 2023
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Modifier 25

Cigna Delays Plan Requiring Medical Records With Modifier 25

UPDATE: Cigna has delayed the requirement described below, and it will no longer take effect on May 25. The company has not yet indicated when it will go into place, so keep an eye on the Healthcare Training Leader website for more information as this story develops. When you perform a minor procedure along with […]
Published Date: May 23, 2023
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