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2021 E/M MDM Guidelines Data

2021 E/M MDM Guidelines: Justify Data Score, Correctly Credit Tests

You can get more credit towards higher levels of medical decision making (MDM) using 2021 E/​M data guidelines that allow you to give more points for tests that your provider orders and/​or reviews. The money is just waiting for you to take it. Getting paid accurately for your office visits in 2021 hinges on your […]
2021 Stark Exceptions

2021 Stark Law Exceptions: Stop Violations for Your Self-Referrals (Jan 19 Deadline)

Your referrals, value-based arrangements, and physician compensations can land you with huge penalties unless you meet all of the 2021 Stark Law requirements that went into effect January 19th, 2021 Make just one error, and you’ll be fined $25,000-$50,000 per violation – you can even be excluded from Medicare and Medicaid. CMS and OIG have […]
COVID Post Travel Employment Laws

Head Off COVID-19 After Travel Employment Law Violations

QUESTION: Some of our employees are planning on traveling out-of-state during the holidays. We are considering restricting their vacations to reduce the post-travel risk of them spreading the coronavirus to our staff and patients. If they do travel, can we require an after-travel quarantine before we allow the individual to return to work? Question from […]
2021 E/M Guidelines for medical decision making

Avoid Pay Loss from 2021 E/M Guidelines for Medical Decision Making

The new 2021 E/​M coding guidelines give you the option of using either time or medical decision making (MDM) to choose the proper code level for office visits. And while time-based coding may be simpler, it’s not always the best choice. Solely follow the clock, and you could cheat yourself out of valuable reimbursement. Three […]
1135-based licensure waivers

Get Ready: 1135 Waivers, Licensing Extensions Ending Soon

HHS recently extended the Public Health Emergency (PHE) into January 2021, keeping the 1135 waivers — including licensing requirements — in place, for now. While there is no definitive expiration date for the waivers, one thing is certain — these waivers will end, and if you’re not prepared you could lose your license. 1135 Waivers […]
holiday party ideas during COVID

Plan Your Holiday Office Party with COVID-19 in Mind

It’s hard to believe less than a year ago your practice was decking the halls, getting ready for your end-of-year holiday party. Little did you know that 2020 would bring an end to crowded banquet hall celebrations packed with people without face coverings. The good news is you CAN still celebrate the holidays and your […]
2021 CPT Coding Changes

CPT 2021: Ace Your Lab, Debridement, and Diabetes Coding Changes

You’ve got to implement the 300 plus CPT 2021 coding changes by January 1, 2021, or you’ll face emotional and financial losses. Save yourself hours of chasing denials and payments by getting up to speed now on the new, revised, and deleted codes for drugs, ortho, diabetes and more. For help on the massive E/​M […]
Economic Injury Disaster Loan (EIDL) - Shortcut

Relief Funds: Get Up to $2 Million in Economic Injury Disaster Loan

Six months of working capital – up to $2 million dollars − is available to help your practice recover from COVID-19 and other disaster-related economic losses; it’s just waiting for you to claim it. Whether your practice is suffering due to COVID-19, civil unrest, or natural disasters, an Economic Injury Disaster Loan (EIDL) will speed […]
Shoulder unbundling errors

Head Off Revenue Losses Due to Shoulder Unbundling Errors

You don’t want to miss billing an allowed shoulder procedure and leave thousands of dollars on the table. But it’s imperative that you avoid shoulder unbundling errors – or your repeated billing of included charges can land you with costly denials, and accusations of abuse or fraud. It’s critical that you know when to legally […]
ppp loan forgiveness application deadline

Deter PPP Loan Payments by Using Your Customized Deadline

QUESTION: I’m really confused on the Payroll Protection Program (PPP) loan forgiveness application deadline. I’ve read some advice on waiting to apply to better justify our expenses and keep more of our payments. However, the form indicates that it expires 10/​31/​2020. Can you explain this difference?  Question from San Diego, California subscriber ANSWER: The Small […]