June 26th 2025
Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.
May 21st 2025
Learn seven proven steps medical practices can use to empower coders, improve coding accuracy, and slash claim denials for a healthier revenue cycle.
January 16th 2025
Company aims to make claims appeals easier and quicker for physicians by having AI do much of the work
January 14th 2025
Behind today's high denial rates lies a fundamental tension – coding requirements grow increasingly complex as coding resources lessen.
January 3rd 2025
Though similar to other specialties, some billing codes are unique for behavioral therapy.
A Medical Practice's Guide to Incident-To Billing
The incident-to rules can be confusing for many physicians, practice managers, and billers and coders. Here's some helpful guidance.
2014 Fee Schedule Survey Results
The results of our 2014 Fee Schedule Survey are in. Here's a look at some of the key findings, and how physician practices can react.
Medical Billing and Collections Quiz
Test your patient collections knowledge with our interactive quiz, featuring claims and denial data from RemitDATA from the fourth quarter of 2014.
New Surgical Coding Modifiers Replace Modifier -59
Over the summer CMS added four new modifiers that will require a much greater degree of specification when coding surgical procedures.
Charting the Course to ICD-10: Budget Planning
In early 2015, your first tasks to prepare for ICD-10 should be reviewing your budget and effectively communicating the code set change.
Control ICD-10 Claims and Denials: 4 Tips
Now is the time to act to prevent claims issues, including denials, due to ICD-10. Here are four tips.
Six Critical ICD-10 Questions for Your Software Vendors
The ICD-10 deadline is only nine months away. Here are six questions to ask your software vendors immediately.
Single Note for Admit/Discharge; Confusing HPI Elements
Q: When a patient has been admitted and discharged on the same day, can one note support a same day admit/discharge code?
The Best of Physicians Practice Pearls in 2014
Our experts at Physicians Practice Pearls have written on a wide variety of practice-management topics, but these eight columns stood out as the gems.
ICD-10 Preparation: 3 Tips for Early 2015
With the ICD-10 transition on the horizon, medical practices need to start preparing. Here are three tips to start with when the calendar flips to 2015.
5 Common Medical Practice Denials and Remedies: September 2014
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on internal medicine.
Clean Up Your A/R Before the End of the Year
Internal Audit Pass Rates; Nonphysician Credentialing
Our practice does internal chart reviews on our physicians for coding accuracy. What do you feel is an appropriate passing score?
5 Common Medical Practice Denials and Remedies: August 2014
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on pediatrics.
Easing the Transition from RAPS to EDPS
A change by CMS to its claims submission process for Medicare Advantage affects both physicians and their practices. Here's what you need to know.
Communication Crucial to ICD-10 Success
To truly be ready for the ICD-10 transition, start your communications now: with your physicians, your staff, and your tech vendors.
Maximizing Reimbursement; New Practice, Old Patients
Get coding guidance on billing for a family medicine group; patients being seen at a new practice; and more.
ABCs of Coding Vaccine Administration
Reporting vaccine administration can be tricky. Practices should review most recent updates and be aware of differences between commercial and federal payers.
5 Common Medical Practice Denials and Remedies: July 2014
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on psychiatry and neurology.
Attending Telephone Consults, Advanced Practitioner Consults
Get coding guidance on resident consultation via telephone; discharging patients; antepartum care; and more.
Medicare Moves to Replace Modifier 59
Not only should your practice prepare to use new modifiers by Jan. 1, you might also experience even greater scrutiny of future modifier 59 claims.
5 Common Medical Practice Denials and Remedies: June 2014
RemitDATA's vice president of product management, Aaron Hood, explores the most common unexpected denials at practices nationwide, focusing on endocrinology.
Using Modifier 24: Understand the Rules of the Game
Reviewing the definitions of modifiers first will ensure that applying a modifier goes from a game of chance to a sure thing.
Knowing Why Claims Are Being Denied Will Help You Get Paid
Performing an audit on your denials will provide a clear picture of where you need to focus your attention in the billing process.
CMS Proposal Eliminates Global Periods, Could Boost Primary Care Demand
If a CMS proposal goes into effect, primary-care providers are likely to be called on more often to provide follow-up care (primarily, evaluation and management services).
Coding Questions: Resident Billing Without a Teaching Physician
Is there any "primary-care setting" where a resident may bill the office visit without a teaching physician, other than in the primary-care exception?
Intense ICD-10 Training: A Step-by-Step Plan
Some of your medical practice staff will require more intense ICD-10 training. Here's a step-by-step guide to get them prepared for the code set transition.
5 Common Medical Practice Denials and Remedies: May 2014
RemitDATA's vice president of product management, Aaron Hood, explores the most common unexpected denials at practices nationwide, with a focus on radiology.
Appropriate Chart Review Requires Standardization
Whether you are working with off-shore radiologists or your own coding department, using the same language is vital.
Diagnosis Coding: Why It Is So Important
Claims are paid based on the CPT code submitted to the payer. The diagnosis code supports medical necessity and tells the payer why the service was performed.