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All Blogs

Telehealth documentation

5 Must-Haves in Your Telehealth Documentation for 2025

Telehealth billing and coding requirements are changing in 2025, with many of the pandemic-era flexibilities that Medicare offered lifting as of January 1. If you want to continue collecting for the services that are still billable, you must ensure that your telehealth documentation is pristine. Check these five essential features you must include in your […]
Published Date: December 9, 2024
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G0556

Master New APCM Codes G0556-G0558 for Medicare Services

Primary care providers will have new options for collecting from Medicare in 2025, thanks to the addition of three new advanced primary care management (APCM) codes (G0556-G0558). These codes will go into effect on January 1, so now is the time to pinpoint exactly what’s required before you report G0556, G0557 and G0558. You’ll Report […]
Published Date: December 8, 2024
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Overtime rule

Judge Blocks Overtime Rule: How Will It Affect Your Practice?

Your practice likely scrambled to prepare for the Department of Labor’s new overtime rule that took effect on July 1, and the overtime threshold amounts were scheduled to change again on January 1. But when a U.S. district court judge overturned the rule in November, the overtime threshold fell back to 2023 levels. Check out […]
Published Date: December 3, 2024
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Incident to billing

OIG Adds Incident-to Billing to New Work Plan: Its Impact on You

The OIG has added incident to billing to its latest Work Plan, noting that it intends to issue a report on its findings in 2026. Until then, the agency will be auditing and reviewing claims involving incident to services, so your practice should be ready for the inevitable notification to submit any claims you’ve billed […]
Published Date: December 2, 2024
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Contract negotiation

3 Payer Contract Negotiation Pitfalls Every Practice Must Avoid

Participating in a managed care contract negotiation cycle can often help your practice create more favorable terms and allow you to increase reimbursement and decrease administrative burden. While it may be a stressful time, it’s also an opportunity to improve unfavorable contract terms that you’ve dealt with for too long. What’s important is to take […]
Published Date: November 26, 2024
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Remote patient monitoring

OIG: Remote Patient Monitoring Claims Include Big Errors

Claims for remote patient monitoring skyrocketed over the past few years, with claims for this service rising 20-fold between 2019 and 2022. Unfortunately, not all of those claims were justified, according to a Sept. 2024 audit, and the OIG is going to be taking a close look at RPM claims going forward. Discover what the […]
Published Date: November 25, 2024
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OIG audit

5 OIG Audit Areas Your Practice Must Ace to Stay Compliant

It can be hard for medical practices to stay ahead of the OIG audit areas that are under scrutiny at any given time. One month, they’re targeting modifiers, and another month they’re homing in on global period claims. To stay on top of it, you need to be poring over their open issues almost every […]
Published Date: November 18, 2024
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Front desk

3 Common Front Desk Mistakes — and How to Avoid Them

Your front desk team is the face of your practice, and if they make a big mistake, you may lose patients (and the accompanying income). Some practices can’t come back from errors that the front desk team makes, so it’s incredibly important to ensure they know how to avoid the most common issues. Check out […]
Published Date: November 17, 2024
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healthcare podcast

New Medical Management Experts Podcast to Boost Practice Efficiency

Practice management staffers are getting burned out. In fact, nearly 40% polled in a recent survey said they were thinking of quitting their jobs. Among the issues they found frustrating included dealing with angry patients, not bringing in enough reimbursement, handling employee issues, and staying compliant with changing regulations. One way your practice management team […]
Published Date: November 12, 2024
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Medicare fee schedule

3 Takeaways From the Final 2025 Medicare Fee Schedule

The 2025 Medicare Fee Schedule Final Rule included some good news and some bad news for practices. If you want to prepare for the changes that will hit January 1, now’s the time to familiarize yourself with some of the updates that will be coming your way. Check out three of the most important takeaways […]
Published Date: November 11, 2024
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