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PECOS 2.0

Get a Sneak Peek of 5 Features That PECOS 2.0 Will Offer

Medicare’s PECOS 2.0 system for credentialing and enrolling your providers is expected to arrive this year, and if you aren’t ready for it when it goes into effect, you’ll be behind the eight ball. Check out a sneak peek of five PECOS 2.0 features you’ll need to master if you want your provider enrollment applications […]
PHI breach

Avoid Text and Email PHI Breach Risk With Three Key Tips

You may be accustomed to hearing about the massive PHI breach instances that affect large healthcare systems, but they aren’t the only HIPAA violations that occur. In reality, small breaches take place every day often involving texts or emails that aren’t sent securely or that end up going to the wrong place. Communicating with patients […]
Same-day admit/discharge

Let These Examples Guide Your Same-Day Admit/Discharges

When CPT eliminated observation care designations from its coding lineup in 2023, some coders were puzzled about how to report same day admit and discharge situations, and the rules have only become more confusing as the calendar turned to 2024. After all, there are always going to be situations when patients are admitted to observation […]
Telehealth billing

Avoid These 4 Telehealth Billing Errors to Keep Pay Flowing

Seeing patients virtually has become such a common practices that many healthcare providers and patients prefer it over in-person visits. The best way to keep your reimbursement flowing for these encounters is to ensure that your telehealth billing practices are compliant. Check out four common telehealth billing mistakes that could derail your pay for these […]
Prior authorization

5 Ways to Reduce the Prior Authorization Burden at Your Practice

Every practice knows that handling a prior authorization case load can be time-consuming and burdensome. Not only do payers require you to spend endless time filling out forms and even sitting on hold when you call, but they often end in erroneous denials. In fact, one OIG report found that an alarming 13% of Medicare […]
G2211

New G2211 Facts Help Guide Your E/M Reimbursement Strategy

Sometimes it may feel like you’re navigating the G2211 coding and payment rules without much guidance, since CMS updates about how to report this E/​M add-on have been sparse. Fortunately, one Part B MAC has come out with nearly a dozen FAQs that untangle several issues that coders have encountered since this code became payable […]
Staff productivity

5 Ways to Improve Your Staff Productivity and Performance

Do you think your practice is as efficient as it could be? If not, you may be thinking you need to boost morale, hire a stronger team, or even spend more of your own time in the office. That isn’t always the remedy, however. In some cases, you simply need to improve staff productivity, but […]
Medicare provider enrollment

Ease Medicare Provider Enrollment With Simple Prep Tips

Enrolling your new providers in the Medicare system can be tedious and time-consuming — and the responsibility usually falls to your back office staff, who are busy enough trying to maximize reimbursement. One way to streamline the Medicare provider enrollment process is to acquaint yourself with a few key strategies so you can significantly reduce […]
Violence against healthcare workers

Violence Against Healthcare Workers Rising: Are You Prepared?

Violence against healthcare workers is a very real threat that many medical offices don’t take seriously enough, and if the results of a recent survey are any indication, every practice should prepare now to protect their staff and patients against these threats. Background: A new review of hospital data from 2023 indicates that over 10 […]
Contractor vs. employee

Contractor vs. Employee: How to Differentiate and Why It Matters

About 3.4 million staff members in the U.S. are erroneously being classified as independent contractors when they should be listed as employees. Part of the issue is that many businesses don’t understand the difference between contractor vs. employee. But under a new rule that takes effect March 11, practices that are making this mistake could […]