It’s not often that CMS presents coders with a way to collect more for E/M visits, but in 2024, you’re about to benefit from a relatively new add-on code that allows you to do just that with the implementation of G2211 effective January 1. Discover the facts you must know if you want to collect […]
When you see patients for oral health care, it can sometimes be challenging to determine whether to bill their visit under their dental insurance or their medical plan. But understanding the nuances of each type of coverage can help every practice make the right choice. Consider these best practices when differentiating if you should bill […]
Providers perform diagnostic radiology services not only to evaluate a patient’s condition, but also to follow up on progress or determine whether a treatment is working. Coding these services sometimes seems straightforward, but it’s easy — and dangerous — to get complacent about radiology coding. Check out three tips that can help you ensure that […]
Time and time again, the government has proven that no one is immune from accusations of healthcare fraud. Certainly not providers, but also coders, billers and office managers. Check out three cases of office managers who were accused of healthcare fraud, what the allegations were and how you can avoid similar issues. 1. MO Office […]
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 […]
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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.