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Updated 2019 Medicare Telemedicine Policy

Several months ago, the Centers for Medicare & Medicaid Services (CMS) released an updated Medicare telemedicine policy for Medicare, which went into effect on Jan. 1, 2019. The new changes in the CMS’ finalized Calendar Year 2019 Physician Fee Schedule for Medicare telemedicine policy are brought with the goal of streamlining the healthcare system, and […]
Published Date: July 17, 2019
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Watch Out for These 11 Devious Payer Contracting Negotiation Tricks

How hard are your managed care contracts working for you? Could payer contracting even be working against you? Payer reimbursements are the foundation of your practice revenue, but unfavorable contract terms can cost you thousands of dollars. Many providers find payer contract negotiation — or renegotiation — to be a complex and even uncomfortable task, […]
Published Date: July 10, 2019
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abn form

Medicare’s ABN Form: Top 10 Mistakes You’re Making (and How to Fix Them)

Using Medicare’s ABN form, Advance Beneficiary Notice might be a routine part of your job, but are you sure you’re doing it correctly and compliantly? Providers and staff who treat Medicare patients must know exactly how and when to issue a CMS ABN form to avoid costly write-offs and penalties. If you’re like most providers […]
Published Date: July 3, 2019
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Documentation Checklist Bulletproof Your Claims

Documentation Checklist Can Bulletproof Your Claims

Provider documentation is your only defense if you’re faced with an audit. It must be rock-solid to support the claims you submit to payers. But how can you ensure this happens when each clinician has his or her own style and perspective when documenting a patient encounter? The answer is good basic, defensible documentation. Here […]
Published Date: April 1, 2019
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Tips for Getting Contracted into
Closed Payer Networks

Since many payer networks are already complete, it is often challenging for providers to get contracted. Therefore, the question is what can you do as a provider of valuable medical services to get into a closed or narrow payer network?
Published Date: March 1, 2019
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Patient Wait Time

Overcome Patient Wait Time Frustrations

Patient survey results were recently published by Software Advice that uncovered that your patients are using wait times found online as a determining factor when deciding to make an appointment with you.
Published Date: February 1, 2019
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10 Tips for Responding to a Records Request

In the last few years, the number of providers that have received records requests from third-party companies hired by health plans has skyrocketed. The good news for providers and patients is that risk adjustment requests are NOT for determining the medical necessity of ...
Published Date: January 1, 2019
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