In 2021, how you calculate your E/M level has been uprooted. You can either track time to help you choose the correct code, or determine the Medical Decision Making (MDM) Element level. And while time-based coding is more straightforward, you’ll be cheating yourself out of higher-level visits (and their reimbursement) if you rely on time alone.
Let’s face it, COVID-19 has made hiring and retaining staff for your practice harder than EVER. These are not normal times. Stress is at an all-time high for everyone. It’s easy for employees to allow the negativity of the pandemic to seep into your office.
While you and your staff want to promote COVID-19 prevention with vaccinations, you’ve got a lot of concerns about if and how you can require them. Mandatory COVID-19 vaccination policies violate federal laws. Employee policies must include specific language that protects employees and practices from costly lawsuits.
Constantly changing rules and requirements make it next to impossible to know when you can and can’t write off funds, waive co-pays or how to adhere – or not – to your in and out-of-network obligations.
IMPORTANT: You have almost 1,000 coding changes for 2021 that you must make immediately, or you’ll risk denials and delayed payments. Not only do you have new COVID-19 vaccine codes, but you also have new diagnoses too.
Starting January 1, 2021, in order to be reimbursed correctly, and avoid being targeted for a payer audit, it is essential that you review and accurately incorporate ALL relevant 2021 CPT procedural code changes. This free downloadable Excel tool summarizes and breaks down each of the new, deleted and revised codes by section.
FBI November Alert: Medical record cyberattacks skyrocketed last month in the US, and your practice could be next. When hit, you’ll lose access to your medical records for approximately 15 days, and the average ransom demand is $111,000.
Starting January 1, failing to use time to select your E/M codes will leave thousands of dollars on the table. With CPT 2021 code changes, you can select your office/outpatient E/M code (99201-99215) based only on the length of the visit.
With COVID-19 telemedicine rules shifting irregularly and contradictory explanations, making a misstep on reporting your telehealth services is really easy. But you can’t afford to wait any longer to take a hard look at your coding and billing guidelines.
The 2021 ICD-10-CM code updates contain nearly 600 changes (490 new, 58 deleted, 47 revised codes). Save time combing through the hundreds of changes. Download your free chapter-by-chapter breakdown to speed your transition.
With school openings, influenza coming, and coronavirus vaccine glimpses, your practice has a lot to handle during the Autumn months and into 2021. Planning your best approach and encouraging your employees to stay strong through the fall is even TOUGHER than usual.
Your front desk and back end staff have totally different exposure risks than your technicians and providers. So there’s no need to make them all wear the same gear to protect them from COVID-19 – and your practice from fines and lawsuits if you know how.
Bottom Line: You are required to immediately record and file your employee’s positive COVID-19 diagnosis to comply with new State and Federal employment rules – and this template guides you step-by-step through the required intake and reporting stipulations.
Your protocols must protect your practice’s safety in the increasingly probable event that an employee tests positive for the coronavirus. But you must NOT infringe on multiple federal and state laws – or you could end up battling an expensive legal claim.
With the COVID-19 outbreak, your practice’s success now depends on your ability to successfully bill and be paid for telemedicine services. If you don’t know where to begin, are holding claims or delaying implementing telemedicine services for fear of a post-emergency audit and penalties STOP RIGHT NOW.
You are not in this alone. Join Dr. Siddiqui and Mr. Dahl for a no-cost online training where you’ll receive step-by-step expert advice to help you overcome the unprecedented challenges your practice is currently facing during this pandemic.
You can better explain your remote service offerings to your patients and expedite their participation in telehealth and telephone care by utilizing this Patient Consent Checklist and providing them with a Telemedicine Services Consent letter.
Revamp your communications and practice space to prevent patients from infecting other patients and staff. Use this Practice Prep Checklist to arm your staff—and patients—to safely run your practice during the COVID-19 pandemic.
Releasing medical records is a financial and legal nightmare just waiting to happen. Making things more complicated, hospital and physician practice medical record requests are governed by a variety of laws: federal and state.
Due to the epidemic of vaping related injuries and deaths, two agencies have released ICD-10-CM coding rules. Audits are finding you’re miscoding and omitting required codes. This can cost you delayed, unpaid and unsupported claims.
Before you kick out an animal and risk a $75,000 ADA violation, have front desk staff take two steps. Give them this infographic so they’re ready for the next dog, horse, snake, or parrot that comes in your door.
Find out if the amount you’re losing on patient no-shows warrants your 2020 focus. Download this user-friendly No-Show Calculator tool, and simply enter your scheduling details to find out the impact they are having on your practice.
This user-friendly eGuide includes expert advice focusing on terminology you must know and understand, frequently asked questions and answers to the most common and complex scenarios you will encounter, and an application process checklist and flowchart that will allow you to outline and organize your processes every step of the way.
Protect your practice with this Sample Mobile Device Policy for Acceptable Use template. You’ll prevent hefty HIPAA violations and fines that could result from the inappropriate use of mobile devices and unsuspected breaches.
This ready-to-go template to appeal modifier 59 denials will save you valuable time. Just copy and paste into a Word file, add the pertinent details, official guidelines and documentation – and your claim appeal can be out the door in less time than you ever imagined.
This ready-to-go template to appeal modifier 25 denials will save you valuable time. Just copy and paste into a Word file, add the pertinent details, official guidelines and documentation – and your claim appeal can be out the door in less time than you ever imagined.
Timely, accurate credentialing is imperative for a practitioner to see patients, bill insurance, and have hospital privileges. Because this can be a lengthy process with a lot of information to manage, your success often hinges on the caliber of the credentialing tools you use. But where can you find an easy-to-use tool that won’t make your head spin?
Your front desk is the main reason patients leave your practice. Equip your front desk staff with the proven strategies found in this exclusive, printer-ready infographic today to ensure your patients don’t walk out the door for good.
In one quick and easy flow chart, you’ll be able to determine if a claim should be filed incident-to or not. You’ll gain confidence in your NPP coding, and should see your NPP reimbursement boost and your denials decline.
Did you know that employees no longer with your practice are a significant driver of government HIPAA complaints, audits and penalties? One way to mitigate your risk from terminated employees, whether they left voluntarily or because you had to fire them, is to institute a termination checklist.
Incorrectly ending a physician-patient relationship can trigger costly patient abandonment consequences (in both time and money). But, with a little help, you CAN end a patient relationship without the worry of getting accused of wrongdoing, dealing with financial penalties and the stress of defending your actions. Follow these 10 expert steps and protect yourself and your practice today.