Billing Compliance

The 2017 Medicare Physician Fee Schedule (MPFS) Final Rule has been finalized and will take effect Jan. 1, 2017. Here's what you should know.

CMS is expanding the number of practices that can take part in the Advanced Payment Model pathway in MACRA.

What are the rules when it comes to completing chart notes after the time of service? Can doctors charge a copay for an annual exam?

One doctor shares her problems with insurance companies making time-consuming, non-reimbursed checklist requests of physicians.

Experts analyze the final rule adjusting Medicare reimbursement. Were there more positive or negative developments for small practices?

Based on the evolution of the field, medical billers have to adapt or they'll find themselves out of a job.

This month's coding questions tackle whether physicians in the same group practice in the same specialty have to bill as a single doctor.

Provider groups say CMS' changes to the first year of MACRA compliance reporting are a nice first step, but more needs to be done.

Bringing on a new billing partner or renegotiating the agreement with your current one? Here are four tips that will help you plan for all scenarios.

In the world of coding, here's why an attending physician is not really allowed to attest to an NP consult. Also, what are comparative billing reports?

It's fair to say that most doctors didn't get into medicine because of paperwork and regulations. Apparently however, not everyone feels this way.

CMS has altered rules around payments to hospital based outpatient departments (HOPDs), which could have an effect on a practice's value to hospitals.

A recent ruling from the U.S. Court of Appeals emphasizes why it's important for physicians to not cut corners.

It's not impossible. Smaller providers can maximize their RCM and increase their bottom line; here are seven ways to do just that.

Here's why you should ignore "Incident to" Billing for PA services, which require a significant amount of additional work without a fair return in revenue.

A guide to helping physicians better understand the process of Medicare-based reimbursement for PAs. What do you have to know?

Private payers are finding fraud and abuse as a way to recoup funds they say were wrongly paid. Here's how to respond to these requests.

If your practice hasn't already, make sure to hire an outside auditing firm to review your billing records for possible overpayments.

The change to the ICD-10 coding system was greeted with dread and sometimes fear. But now that it's live, it's time to see what it can do.

As patients see increases in healthcare costs, it’s up to a practice’s staff members to change payment behavior and keep collections coming.

With ICD-10 implementation deadline and Halloween both coming up, here’s another cartoon that looks at the scary similarities of the two days.

As the hours tick away, ICD-10 is almost here. For practice, this doesn’t mean you need to panic, these last minute tips should be of assistance.

With Halloween and Oct. 1 both coming up, here is a look at the scary sights of ICD-10. Which do you find more frightening - ICD-10 or Halloween?

An ICD-10 critic goes over four myths that have been pushed by the coding set’s supporters and why he is against the transition

Helping patients manage multiple insurance plans with convoluted rules will improve their ultimate care, and also benefit your practice.

Helping patients understand they have to pay for their care can be difficult. Here’s a guide that helps break it down.

Here are ten potential ideas to reward your staff for enduring the stress of the ICD-10 transition.

Most practices are not taking advantage of the tech tools their EHR offers that can help them in the revenue cycle. Here are five to know.

Creating a game plan for dealing with an increase in denied claims during the first few months of ICD-10 can save you money and headaches.

When ICD-10 hits on Oct. 1, coding habits aren’t the only thing that will require adjustment. Here are five EHR-specific tips for the transition.