Every minor procedure your providers perform includes an inherent evaluation and management (E/M) portion factored into the reimbursement for it. But when you go beyond that cursory E/M work, you should be able to collect for the extra time your provider spends — and that’s where modifier 25 comes in. Although modifier 25 represents a […]
It can be unbelievably confusing to fill out your Medicare claims without making mistakes. But while errors are just a part of life in every other area, Medicare errors can be a different story. Auditors and reviewers are just waiting for you to put one wrong detail on your claims, allowing them to deny your […]
Your medical practices is like any other business, in that it has an online presence — which means that sometimes, online reviews are posted, and they aren’t always positive. However, responding to online reviews, even if you feel you’re simply defending your practice, can land you in hot water if your response accidentally violates patient […]
One of the most challenging aspects of handling an advance beneficiary notice (ABN form) is identifying when you MUST present it to your patient and when it’s considered “voluntary.” The line between these two seemingly similar situations could be what separates a paid claim from a denial. Get the facts on when an ABN form […]
Handling payer contract negotiations is never simple, and one area that many practices find particularly stressful is how to respond when a payer immediately says “no” to the terms you’re interested in pursuing. Although it can be off-putting to deal with an insurer who doesn’t want to work within your required terms, there are ways […]
Rural health clinic staff members have to navigate reams of regulations and bureaucratic red tape to collect for general care management services, but the good news is that collecting for these services is about to get a lot easier. Check out four changes for 2024 that will help every rural health clinic collect more revenue […]
When patients or employees want to bring service animals or emotional support animals into your practice, you must tread very carefully. If you make a misstep, you could face lawsuits, regulatory agency fines and reputational damage if you violate the Americans With Disabilities Act. On the other hand, if your emotional support animal policy is […]
If your practice has been eagerly awaiting word from CMS about how Medicare payments would be calculated in 2024, the wait is over. The agency released its 2024 Physician Fee Schedule Final Rule on November 2, and the provisions include a 3.4% lower conversion factor of $32.7375, updates to the telehealth rules, approval of using […]
Every practice knows that the Department of Health and Human Services (HHS) assigns its watchdog agency, the OIG, to review problematic issues at medical offices, and to investigate when warranted. Investigations may end up resulting in fines and penalties for practices, which is why it’s important to avoid these reviews if at all possible. One […]
The first step to filing ERISA appeals is to ensure you have all the ERISA documents you need from your patients — but that can be easier said than done. It can be challenging to get items like the summary plan description and coverage details. Check these methods that can help you gather the ERISA […]
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.