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Billing

Billing

G2211

CMS Adds Nearly 100 More Codes You Can Bill With G2211

If you’ve ever wondered why the add-on code G2211 can’t be billed with a wider range of CPT codes, you’re in luck. On April 29, CMS added 98 additional codes that can be reported along with G2211 as part of an update to Transmittal 13199. Even better news? The implementation date is retroactive to January […]
Published Date: May 11, 2025
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Revenue leakage

3 Types of Revenue Leakage That Cost Your Practice Thousands

Every practice could use a new income stream, but nobody wants to squeeze in more appointments per provider each day or extend their hours. One way to optimize income while maintaining your existing schedule is by plugging up revenue leakage. Check out three types of revenue leakage your practice may be experiencing, along with tips […]
Published Date: May 5, 2025
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APCM codes

Check These Expert Ways to Get Paid for the New APCM Codes

When CMS debuted the new advanced primary care management (APCM) codes on Jan. 1, 2025, practices were excited about the prospect of collecting more for value-based care. By improving patient outcomes and reducing costs, you can have healthier patients and bring in more reimbursement — if you know how to report G0556-G0558. Check out three […]
Published Date: April 28, 2025
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Financial hardship

When Can You Offer Financial Hardship Discounts to Patients?

It happens from time to time at medical practices: Patients will say they can’t pay their copay due to financial hardship. But your practice knows that it’s a violation of your payer contract to write off copayments — so what can you do? Check out what the law says, and when you can and cannot […]
Published Date: April 13, 2025
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Medical practice income

Boost Medical Practice Income With 3 Key Tips

Looking for ways to improve your medical practice income? You’re not alone. In today’s environment, practices need to take extra steps to keep reimbursement flowing while cutting costs wherever possible. Fortunately, there are some strategies that can help. Check out three ways to generate more medical practice income without having to change your habits dramatically […]
Published Date: April 6, 2025
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Patient financial policy

3 Items You Must Include on Your Patient Financial Policy

Let’s face it: Patients don’t like unexpected medical expenses, and your front desk team dreads discussing finances with patients who just want to see the doctor. But your revenue depends on getting patients to pay their portion of medical bills. The solution? Ensuring your patient financial policy has you covered in explaining the essentials. Check […]
Published Date: March 30, 2025
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Incident to

Three Providers Who Were Charged With Incident to Fraud

You’re familiar with billing fraud, egregious upcoding behavior and missing documentation — but are you aware of incident to fraud? Well, it happens more often than you’d think, and can get you into huge trouble. Check out three recent cases of practices who were accused of committing incident to fraud so you can avoid their […]
Published Date: February 24, 2025
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Good faith estimate

3 Good Faith Estimate Myths You Must Wipe From Your Beliefs

Ever since the No Surprises Act went into effect in 2022, your medical practice has been required to provide good faith estimates to patients. This allows them to avoid receiving surprise medical bills by giving them the opportunity to understand how much they’ll be responsible for. Read on to discover three good faith estimate (GFE) […]
Published Date: January 13, 2025
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Incident to billing

OIG Adds Incident-to Billing to New Work Plan: Its Impact on You

The OIG has added incident to billing to its latest Work Plan, noting that it intends to issue a report on its findings in 2026. Until then, the agency will be auditing and reviewing claims involving incident to services, so your practice should be ready for the inevitable notification to submit any claims you’ve billed […]
Published Date: December 2, 2024
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Balance billing

Save This Checklist to Stay in Line With Balance Billing Rules

When a patient faces an emergency medical issue, they may end up getting treated at an out-of-network facility. In these situations, patients previously faced steep costs because their insurance plans didn’t cover out-of-network fees, and they’d get a balance billing invoice for the difference between the billed charge and the amount the insurance company paid. […]
Published Date: September 22, 2024
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