Billing

Billing

coordination benefits

Coordination of Benefits: Reduce Payment Delays with Six Simple Steps

QUESTION: We experienced an increase in Coordination of Benefits (COB) issues with Medicare last year. We finally found out there was a “glitch” in their system. The previous accident claim information was populating the primary insurance field. It took us quite a while to recover from this. What can we do to avoid issues like […]
Published Date: January 15, 2021
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2021 Medicare Physician Fee Schedule Telehealth

2021 CMS Fee Schedule Proposes 5 Telehealth Changes

Your telephone, telehealth exam, and virtual check-in pay could come to a grinding halt unless you’re up to date on the latest potentially upcoming changes to the 2021 Medicare Physician Fee Schedule. Auditors will be checking to see if you tightened your regulations for coding, compliance and more. Prep your practice now on the top […]
Published Date: August 17, 2020
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Medicare ABN Mandatory

Is an ABN Mandatory or Voluntary? Here are 4 Clues to Decide

The Medicare Advance Beneficiary Notice (ABN) form is only one page long, but accurately completing the process can be as tedious as waiting for the repair man to show up. And it’s really critical that you take the time to get each step right, or you’ll be faced with increased write-offs and could even land […]
Published Date: August 12, 2020
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Head Off $2 Million Medical Billing Fraud and Abuse Violation

You could be fined up to $11,000 for each false item or service you submit to Medicare. That means, your total penalty amount could be HUGE – reaching into the millions as it did for one physician practice. Halt massive penalties from crippling your practice by fixing these common medical billing fraud and abuse errors. […]
Published Date: June 25, 2020
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Telehealth Insurer Coverage

Telehealth Pay: Insurers Extend Dates

QUESTION: Our patients have really responded to the telehealth services that we introduced to help extend care during the height of COVID-19. We still provide more than 50% of our services via telehealth. Are payers going to extend the telehealth waivers, or will it become more difficult to provide these virtual services? Milwaukee, WI Subscriber […]
Published Date: May 28, 2020
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5 Steps Prevent Overcharging COVID-19 Testing

If your practice is testing patients for COVID-19, you’ve got a bunch of new codes and payment rules that you need to follow, so you get paid on time, every time – without violating kit reimbursement law. In the past few weeks, CMS has released a significant amount of guidance on COVID-19 coding and co-pay […]
Published Date: April 14, 2020
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Avoid Audits, Write-Offs With Mandatory or Voluntary ABN Form

QUESTION: What do educators mean by mandatory vs voluntary ABN? Is it the same form? Question from Long Island, NY Subscriber   ANSWER: To secure payments and prevent audits, you must have your patients sign a Medicare Advance Beneficiary Notice of Noncoverage (ABN) form. Don’t risk fines and face write-offs by not issuing the form […]
Published Date: March 6, 2020
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CPT Code 99211 Nurse Visit BP

Inject $20K in Your Practice for Nonphysician Work

You are losing $15 every time you fail to report CPT code 99211 for eligible services. That means, in a single year, you are missing $20,000 for nonphysician services you already provide. Don’t avoid using 99211 due to your fear of denials and audits. You can boost revenue by learning when to compliantly use this […]
Published Date: March 5, 2020
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5 Tips Audit-proof Your Remote Patient Monitoring Coding and Billing

An easy way to add $122 per patient per month for services you already offer is to capture 2020’s new and revised CPT codes for remote patient monitoring. But be sure you can keep your hard earned money by reporting compliant, documentation supported claims. With the increasing amount of patients having wearable devices such as […]
Published Date: February 4, 2020
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CMS Acupuncture Coverage CPT Coding

CMS Covers Acupuncture When Case Meets These Requirements

Your patients with chronic back pain will be thrilled to know that CMS now offers reimbursement for acupuncture services. But to unlock pay, you must follow several coverage rules or else you’ll be stuck having to write off the service or collect the pay from the patient. Select 987810-987814 Based on Type and Duration Look […]
Published Date: January 24, 2020
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