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Physician Credentialing: Prevent Cash Flow Break with NPI Accuracy Essentials

Make no mistake! Setting up and maintaining the accuracy of each of your physician’s National Provider Identifier (NPI) is essential and COMPLEX. Any error on your NPI application will result in your reimbursement being delayed and a hit to your practice’s cash flow. As a Medicaid/​Medicare provider, you are required to obtain a NPI to […]
Published Date: June 23, 2020
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CPT code 99211 specimen collection

Telehealth Plus Specimen Collection: Prevent Revenue Loss

QUESTION: Our doctor performed a telehealth exam that resulted in the patient coming into the office later that day for an in-person COVID-19 test. Can we bill CPT code 99211 for the specimen collection AND 99203 for the telehealth encounter when they occur on the same day? If so, should modifier 25 be added to […]
Published Date: June 19, 2020
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Disinfection requirements original

Disinfection Requirements to Keep Your Practice Open

To avoid another round of revenue-busting lockdowns, you must do everything in your power to keep your staff and patients safe while providing treatment. Coronavirus particles can live for hours—and in some cases, days—on surfaces and in aerosols, and not just in your clinical areas. To protect your patients and your practice, your staff must […]
Published Date: June 17, 2020
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Compliance program new rules

DOJ New Rules: Fund Your Compliance Plan or Face Massive Fines

With so many improvement areas competing for resources, a sufficiently financed and living breathing compliance plan has not been high on your priority list. But new guidance released June 1 from the Department of Justice (DOJ) that determines penalties based on these added requirements means you must update your compliance program now to avoid massive […]
Published Date: June 16, 2020
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FFCRA: Compliantly Stop Paying Staff NOT to Work

Closures of camps and schools due to COVID-19 may be just one of many reasons your employees are asking to take more time off than ever. Certainly, you want to be as flexible as possible, but you also have a business to run. It’s essential that you have a firm handle on when you are […]
Published Date: June 10, 2020
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virtual check-in CPT code G2012

Boost Virtual Care Payup by $15 for Emails, Appointment Checks

Getting your practice back on firm financial footing post-lockdown will take more than just calling patients to reschedule canceled appointments. Although the U.S. is reopening, many patients still don’t feel comfortable visiting your practice, unless they absolutely have to. What’s the long-term solution? More virtual services and non-face-to-face care into your practice workflows may be […]
Published Date: June 9, 2020
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Employee Positive COVID OSHA

Employee With COVID-19: Prevent OSHA Violation

Question: We are testing employees daily for COVID-19 to protect staff and patients. If an employee tests positive for COVID-19, are we required to record an OSHA incident? Question from Los Angeles, CA subscriber Answer: Occupational Safety and Health Administration (OSHA) requirements mandate that you record certain work-related illnesses. COVID-19 is included in the regulation […]
Published Date: June 8, 2020
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Chronic Care Coding

CCM Requirements: Boost Payup with Chronic Care Coding Mastery

Update Notice: This content was updated to reflect the 2021 CPT code changes for Chronic Care Management. Specifically, the update includes the replacement of code G2058 with code 99439 and the nuances surrounding the change. The updates to this article are indicated in blue to make them easy to identify. Chronic Care Coding. As your chronic […]
Published Date: June 4, 2020
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HHS Reporting Requirements Original

HHS Requirements: Stop Loss of Provider Relief Funds

QUESTION: Our practice received two emergency relief fund distributions from HHS. We are pleased for the help, but worried we are not complying with the related rules. What are the specific usage and reporting requirements for these funds so we can correctly comply? Question from Dayton, Ohio Subscriber   ANSWER: You are not alone if […]
Published Date: June 2, 2020
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Phone skills physician office original

Expert Tips for Stellar Phone Skills That Retain Patients

Due to social distancing under COVID-19, your staff and patients are communicating via phone now more than ever.  Accordingly, the importance of winning phone skills has skyrocketed. Leaving your front desk phone etiquette skills to chance is a nightmare waiting to happen that can cost your physician practice big time. Losing just 3% of your […]
Published Date: May 29, 2020
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