Two recent cases, one settled and one just filed, are illustrative of the effects of class actions, which are filed in relation to an underlying data breach involving PHI.
Q&A: Medicare screening changes and new E/M service codes
Why has Medicare separated depression and alcohol screenings, and will patients incur cost-sharing with new patient portal E&M codes?
Q&A: Chronic Care management and consult requirements
Documents required for Chronic Care management code 99490 and fulfilling the consult requirement.
Preparing for a coding and billing audit
Most audits concern outpatient visits.
New 2020 HIT regulations: is the patient's story heard?
CMS rules to simplify E/M coding and reemphasize patient narrative.
Q&A: Coding for Medicare Preventive and 20-minute visits
Non-physician provider use of E&M codes
Practices are using E&M codes to bill for non-physician educational visits, but is this ok?
12 ways practices can improve clean claim ratios
Submission of incomplete or inaccurate claims results in claim denials, delayed payments, and additional work for staff. Here's how you can minimize claim denials and ensure timely payments for your practice.
What to do when your EHR derails productivity and value-based care
Existing medical documentation, particularly EHRs, needs to support physicians - not stymie them - as the industry transitions to value-based care.
You may want to believe in the perfect candidate, but it’s hard when you live in a fantasy world
Tackling the biggest problems with your billing
Adding appropriate technology to your practice can have profound effects on the well-being of your operations, allowing your workforce to focus on what they do best while you concentrate on patient care.
Managing your payer mix to improve your bottom line
Payers don’t dole out equal pay for equal work, so it benefits your physician practice to understand who pays what (so you can negotiate more).
Coding for preventive care and chronic care management
Coding expert Bill Dacey clears up some confusion about split billing and combination visits.
Physician Perspectives: William Laurence
“Probably one of the best decision's that I made, which has allowed me to continue to enjoy medical practice, was borne out of necessity.”
The fight against prior authorizations
The ongoing battle to get patients the treatments they need is a major contributor to physician burnout.
Selling your practice? Clean up the coding first.
If you don’t identify the coding issues, know that your potential buyer will.
The reality of virtual check-in coding
Medicare’s new G2012 code for virtual check-ins may lead to cost savings. It could also cost patients money and potentially cost providers in patient satisfaction.
Broken heart syndrome
Don't worry. Romance is alive and well.
Required documentation for 99214 coding
In order to justify the Level 4 E/M visit, make sure you have recorded all necessary information-and clearly label it for the payer auditor to easily find.
Medicare on medical necessity and more on time-based coding
How to code varies on the circumstances. Many coding scenarios are determined by context-not absolutes.
Coding changes in the new year
How CMS’ final rule will affect documentation, time-based billing.
Coding for wellness visits and time-based statements
This month’s coding questions look at how timing plays a role with annual checkups and the stipulations that must be met for coding by time.
Coding questions on Medicare denials, TCM billing
Coding expert Bill Dacey answers your latest coding questions, including an inquiry on why Medicare denied an initial visit claim.
Get paid for the work you do
Physicians must take action and try to get paid accurately for their services.
Q&A with MGMA’s Halee Fischer-Wright and Todd Evenson
How to make the most of your time at the Medical Group Management Association (MGMA) annual conference, according to President and CEO Halee Fischer-Wright, MD, and COO Todd Evenson.
The real cost of falsifying claims
A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.
Reimbursement headaches
Unfortunately, preventative care doesn't prevent physicians from dealing with reimbursement woes.
Coding for patient care outside the office
How to meet patients wherever they are-and ensure you can get paid for telehealth and virtual check-ins.
How to hire the right coder
Use these tips to ensure you choose the right medical coder for your practice, and that the coder chooses you back.
Coding and billing for advanced practice clinicians
Nurse practitioners, physician assistants, and other advanced practice clinicians may have different coding requirements, adding another layer of complexity to the coding process.
How to prepare and manage payer audits
Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits.
