CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.
|Articles|May 30, 2014
5 Common Medical Practice Denials and Remedies: April 2014
RemitDATA's director of product management, Aaron Hood, explores the most common unexpected denials at practices nationwide, with a focus on OB/GYN.
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Each month,
This month, RemitDATA's director of product management, Aaron Hood, provides commentary for the data, with a specific focus on OB/GYN, including recommendations to help your practice avoid future denials.
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A delay would leave practices without the information they need to train staff and test workflows before the deadline, the AMA told CMS.
Heel pain gets laterality, BRCA gets its own code and liver fibrosis gets a middle stage. These are the FY 2027 additions your physicians will reach for.
Conifer's 1,037 layoffs and an intensifying Medicaid fraud crackdown are squeezing practice revenue cycles from both sides.
The FY 2027 code set lands Oct. 1 with no grace period. Deleted codes, quiet demotions and new laterality rules start denials on Day 1.
Nearly 150 medical groups want CMS to fix same-day E/M overlap code by code instead of cutting payment 50 percent.
One line in a payer contract just cut 40% of a Hawaii clinic's panel.
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