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Blog
Documentation Checklist Can Bulletproof Your Claims
Provider documentation is your only defense if you’re faced with an audit. It must be rock-solid to support the claims you submit to payers. But how can you ensure this happens when each clinician has his or her own style and perspective when documenting a patient encounter? The answer is good basic, defensible documentation. Here […]
Tips for Getting Contracted into
Closed Payer Networks
Since many payer networks are already complete, it is often challenging for providers to get contracted. Therefore, the question is what can you do as a provider of valuable medical services to get into a closed or narrow payer network?
Overcome Patient Wait Time Frustrations
Patient survey results were recently published by Software Advice that uncovered that your patients are using wait times found online as a determining factor when deciding to make an appointment with you.
10 Tips for Responding to a Records Request
In the last few years, the number of providers that have received records requests from third-party companies hired by health plans has skyrocketed. The good news for providers and patients is that risk adjustment requests are NOT for determining the medical necessity of ...
Crack the Code: When To and Not To Utilize Unspecified Codes
You have be under the impression that you should never utilize unspecified codes. This is completely incorrect. Actually, when unspecified codes are used wisely, it can make a significant difference in your ability to get your claims paid.
Telemedicine and HIPAA: Avoid Compliance Nightmares
You know what a pain HIPAA compliance is for your office. Well, significantly magnify that pain, and that’s telemedicine HIPAA compliance – unless you know what to look for...
Medical Record Retention and Destruction — One Size Does NOT Fit All
Several weeks ago, a customer called and asked, “How long should we keep our patients’ medical records before destroying them?” Over the years, I’ve heard a variety of answers to this question, and it never seemed...
Arm Your Staff with 7 Tips for Armed Intruder Preparedness
The problem is, no one wants to believe that this could happen at their practice or in their town. However, based on the facts, this is a terrible mistake...
Boost Your NPP Reimbursement by 15% with Incident to and Stay Off of Auditor Hit Lists
If you do it right, your NPPs can receive payments for their services at the same rate as your physicians (vs. the normal 85%). On the flip side, one slip-up while navigating the stringent Medicare rules governing incident to can leave you paying thousands in penalties and fines...