Access All Live + All On-Demand Trainings for 1 Year! SAVE $500 NOW

All Blogs

All Blogs

Radiology coding

3 Radiology Coding Best Practices to Keep Imaging Pay Flowing

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 […]
Published Date: December 5, 2023
Read More
Healthcare fraud

3 Office Managers Recently Accused of Healthcare Fraud

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 […]
Published Date: December 4, 2023
Read More
Modifier 25

3 Modifier 25 Best Practices to Keep Your E/M Pay Flowing

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 […]
Published Date: November 28, 2023
Read More
Medicare claims

7.3% Medicare Error Rate Puts Documentation Issues in Spotlight

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 […]
Published Date: November 27, 2023
Read More
Online reviews

6 HIPAA-Compliant Ways to Respond to Online Patient Reviews

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 […]
Published Date: November 21, 2023
Read More
ABN

8 Times an ABN Is Mandatory (and 8 Times It Isn’t)

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 […]
Published Date: November 20, 2023
Read More
Contract negotiations

How to Respond When Payers Say ‘No’ in Contract Negotiations

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 […]
Published Date: November 14, 2023
Read More
Rural health clinic

4 Major 2024 Changes Rural Health Clinics Must Prep for Now

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 […]
Published Date: November 13, 2023
Read More
Service animals

Untangling the Rules Around Service Animals at Your Practice

When patients or employees want to bring service animals or emotional support animals into your practice, you must tread very carefully. If you make a misstep, you could face lawsuits, regulatory agency fines and reputational damage if you violate the Americans With Disabilities Act. On the other hand, if your emotional support animal policy is […]
Published Date: November 7, 2023
Read More
Telehealth services

CMS Updates Telehealth Rules, Approves Using E/M Code G2211

If your practice has been eagerly awaiting word from CMS about how Medicare payments would be calculated in 2024, the wait is over. The agency released its 2024 Physician Fee Schedule Final Rule on November 2, and the provisions include a 3.4% lower conversion factor of $32.7375, updates to the telehealth rules, approval of using […]
Published Date: November 6, 2023
Read More