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PECOS login

Accurately Choose Your PECOS Login Surrogacy Designation

CMS rules do not allow you to use your provider’s login credentials to manage their Medicare enrollment and ongoing revalidations in PECOS (Provider Enrollment, Chain, and Ownership System). There is a more efficient, compliant process you should be using to manage this. PECOS login. To be compliant, you must set up a PECOS login surrogacy […]
pecos-medicare-enrollment

Use PECOS to Speed Up Medicare Enrollment Efficiency

Whether you’re enrolling your provider with Medicare for the first time or responding to a revalidation request, knowing how to correctly utilize CMS’ Provider Enrollment, Chain, and Ownership System or PECOS Medicare enrollment system is essential. What is the PECOS Medicare Enrollment system, anyway? PECOS is an internet-based enrollment process that provides you with an […]
2021 prolonged service changes

CPT Code 99417 Reimbursement Update: Get $20 for New 2021 Prolonged Service Changes

Update Notice: 2021 prolonged service changes. Important: This information was updated for accuracy on April 28th, 2021. The guidelines for counting total time for CPT code 99417 were revised to bring clarity around what can be included regarding patient education during a patient visit. You’ll find this update in the “Add Direct Plus Certain Indirect […]
Angry Patient Communication

Front Desk Communication Strategies to Calm the Angriest Patient

Defusing angry or hostile patients is a critical skill for everyone on your front desk team to have. How your staff handles these situations can have a positive or negative ripple effect for everyone in your office. Angry Patient Communication. In many instances, clear communication is the solution. When done correctly this can de-escalate most […]
Whistleblower complaints

Resolve Employee Concerns and Stop CMS Whistleblower Complaints

Make no mistake—your employees are being encouraged by CMS to report any suspected Medicare fraud. Whistleblower complaints. CMS offers an incentive to complainants of between 15% to 30% of any money they collect based on the data reported.  So, depending on the extent of the violation, this can easily add up to a significant financial […]
No Surprises Act

How the No Surprises Act Affects Out-of-Network Collections

The No Surprises Act is about to dramatically change how your practice gets paid for out-of-network services.   The Department of Health and Human Services (HHS) is not kidding around when it comes to the enforcement of the No Surprises Act. If you fail to comply, you can be hit with fines of up to […]
RAC Audit

RAC Audit Response and Appeal Survival Tactics

Although last year’s pandemic put a brief pause on Recovery Audit Contractor (RAC) audits — this year they are once again in full swing. Auditors are picking up the pace to make up for lost time. So, your chances of getting audited are higher than ever before. What is a RAC Audit? RAC audits are […]
AMA E/M Updates

2021 E/M Guidelines: AMA Releases Errata and Technical Corrections

You are not alone when it comes to the challenge of correctly implementing the massive changes implemented this year related to the 2021 E&M coding changes. It’s no surprise that the American Medical Association’s (AMA) CPT Editorial Panel has received numerous questions and requests for clarification on these new 2021 E&M coding changes. As a […]
credentialing and enrollment

Master the Differences Between Provider Enrollment & Credentialing

Interchanging the terms credentialing and enrollment is a surefire way for your provider reimbursement to take a serious hit. The problem is that there is definitely overlap between them. Ultimately, however, having a solid understanding of each process and knowing the differences between provider enrollment and  credentialing is the only way to more efficiently and […]
CAQH ProView Portal

CAQH ProView Portal: Make Credentialing/Enrollment Faster & Easier

Your patients pay for their health insurance and want to use it. This means that if you want to treat them, you need to be enrolled in their health insurance plan. Participating in insurance networks almost certainly guarantees you will be required to utilize the Council for Affordable Quality Healthcare (CAQH) ProView Portal, and it […]