Resolve Hidden Denial Reasons & Get More Claims Paid Learn More

All Blogs

All Blogs

Front Desk Collections, Expert Tips

Improve Front Desk Collections, Expert Tips Empower Your Team

Almost every practice I speak with has issues with collecting payments from patients. There are so many things that can happen, and the last thing you want is for your patients to leave your practice confused or angry because they aren’t clear about their bill. When I was chatting with one of our speakers, Rhonda […]

CMS Gives You More APM Options Under MACRA

You now have one more Advanced Alternative Payment Model (APM) for which you can qualify in 2017 and two more for 2018, according to an Oct. 25 press release from the Centers for Medicare and Medicaid Services (CMS). In particular, the CMS Innovation Center’s Oncology Care Model with two-sided risk will be available in 2017, […]
Denial Tracking

With Grace Period Over, Denial Tracking Is the Answer

On Oct. 1, you lost the ICD-10 reporting grace period that the Centers for Medicare and Medicaid Services (CMS) granted to help ease you into complying with the new diagnosis coding system. So, why should you care? For the past year, you’ve been receiving payments for claims that were coded close to the target.  All […]
MACRA Final Rule

MACRA Final Rule Dissection – What it Really Means to You

Oct. 17, 2016 — On Friday, Oct. 14, the Centers for Medicare and Medicaid Services (CMS) announced the final reporting requirements for its new MACRA rule going into effect Jan. 2017. This new program is about to turn how you are paid completely upside down.   Based on MACRA, your Medicare reimbursement will be increased or […]
CMS Releases Final MACRA Rule

CMS Releases Final MACRA Rule, Better Defines First Year Options

Oct. 14, 2016 — There can be no more speculation as to whether the Centers for Medicare and Medicaid Services (CMS) will go live with its Medicare Access and CHIP Reauthorization Act (MACRA) regulations on Jan. 1. Earlier today, CMS released the final MACRA rule after considering more than 4,000 comments and having 100,000 attendees […]
MACRA Rule Changes

Physicians in Congress Call for Significant MACRA Rule Changes

The Medicare Access and CHIP Reauthorization Act (MACRA) could transform healthcare, but if the Centers for Medicare and Medicaid Services (CMS) doesn’t follow congressional intent with its regulations, compliance could become even more complicated than the current system. This is according to 18 congressional members in a recent letter to CMS Acting Administrator Andrew Slavitt […]
MACRA Compliance MIPS Eligibility

MACRA Compliance Step 1: Check Your MIPS Eligibility

Get ready — MACRA is definitely going live Jan. 1, and will most certainly have a huge impact on your claims payments. Before you jump on the MACRA bandwagon, you need to make sure that the program really applies to you. The Centers for Medicare and Medicaid Services (CMS) recently announced that it would release […]
Medicare Payment Rate

Medicare Releases Your 2017 Payment Rate Based on PQRS and QRUR Data

On Sept. 26, the Centers for Medicare and Medicaid Services (CMS) made available for download your 2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRUR). These reports lay out your positive, neutral or negative payment adjustments under the PQRS and Value-Based Modifier programs, respectively, for your 2017 […]
ICD-10-CM Code

Laterality Frequently Unlocks ICD-10-CM Code Accuracy

To get your claims reimbursed, payers demand that you be as specific as possible with your ICD-10-CM code assignment. Often this means you must identify laterality and accurately adjust your coding to avoid claim denials and payer audits. When CMS implemented ICD-10, the number of diagnosis codes went from 14,000 to 68,000 — a massive jump. […]