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All Blogs

All Blogs

Time-Based Coding

Tackle Time-Based Coding to Ethically Boost Your Reimbursement

If your practice isn’t using time-based codes correctly, you are leaving money on the table. Or worse, opening yourself up for massive fines per misuse. The truth is, most coders and their physicians steer clear of these codes out of fear of the consequences of getting it wrong.  But, there’s no need to avoid these […]
Published Date: February 1, 2018
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New Year's Resolutions

How To Make New Year’s Resolutions Stick

At the beginning of each year so many of us commit to changes and worthy goals to be accomplished in the next twelve months only to be disappointed come next December 31 when we discover...
Published Date: January 1, 2018
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TRICARE Transition

TRICARE Transition Clarification

All Tricare West providers must secure new contracts with HNFS as UnitedHealthcare will no longer retain this contract. PGBA will remain the claims processor and there will be no disruption...
Published Date: December 1, 2017
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CMS’ Audit List

Stay Off of CMS’ Audit List

The number of physician practices being audited each year continues to rise. As a result, more and more providers committing fraud, or just making mistakes, are being identified and required to pay massive penalties or have even been sentenced to jail time.   In many instances, the violation wasn’t intentional, but because they had no way […]
Published Date: November 1, 2017
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Emergency Preparedness Plan

Implement a Compliant Emergency Preparedness Plan ….. Or Else

The Emergency Preparedness Rule final rule establishes standards to help you demonstrate that you stand ready for some of the frightening scenarios that can compromise the wellbeing of your patients. And the consequences of not complying can be as severe as...
Published Date: October 1, 2017
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Modifier 51 over 59

When To Use Modifier 51 over 59

When would I use modifier 51 instead of modifier 59? If you would have asked me that question 10 years ago, I would have told you not to use a 51 modifier because it causes bundling reimbursement. But 51 is now in your CPT book for when you are doing skin or endoscopic procedures. There […]
Published Date: September 25, 2017
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2018 ICD-10 Update

2018 Update to ICD-10-CM is Here

As of October 1st, your outpatient claims will be expected to incorporate the new 2018 ICD0-10-CM code, which include 360 new, 142 deleted, and 226 revised codes going live.  Just like last year’s changes, many of the new codes provide more specificity to your diagnoses. This means you’ll need to work with your clinicians to […]
Published Date: September 1, 2017
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Infusion Administration

Recognize Infusion Administration Types to Ensure Proper Payment

Coding infusions is far from run-of-the-mill, and if you don’t get it right, you’ll likely see reduced — if not denied — claims. One of the key concepts when reporting this service is understanding the type of infusion you’re providing. Get it right, and your claim sails through, but get it wrong, and you’ll be […]
Published Date: July 18, 2017
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HIPAA Breaches

Protect Yourself From Vendor HIPAA Breaches, or Pay the Price

Just because you’re taking care of your obligations under the Health Insurance Portability and Accountability Act (HIPAA), doesn’t mean that the vendors you work with are doing the same. So why should you care? Because if your vendors access your patients’ confidential information through your working relationship and have a breach of that data, you […]
Published Date: July 6, 2017
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