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All Blogs

Ransomware Hackers

Stop Ransomware Hackers Before They Strike

It doesn't matter if you work in a hospital system or are a solo-practitioner. It doesn't matter what state you're located in or what specialty you practice. And the "I didn't know" excuse isn't going to fly either. Unless you take action, you're at risk...
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 […]
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...
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...
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 […]
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...
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 […]
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 […]