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.
Copy Referring Physicians; Billing a Follow-Up Visit
Our coding expert discusses copying the referring physician on consults; coding follow-up visits; and selecting medical complexity for high-toxicity meds.
Detailed Coding in ICD-10 Avoids Revenue Headaches
Avoid problems with reimbursement through accurate and specific coding in ICD-10. Here are some tips to do that.
ICD-10 Transition: Monitor to Catch Problems Early
Even if you haven’t seen an uptick in denials, the ICD-10 transition could affect your bottom line. Here are some ways to ensure that doesn’t happen.
ICD-10 is Here: Now What?
The big bang of ICD-10 has happened. Practices should focus on getting reimbursement from third-party payers and clearing up any issues.
Chronic Care Management: Coding and Billing Criteria
Physicians spend significant time managing patients with chronic diseases. Now, under certain conditions, they can be paid for their time.
Payers Won't Always Be So Lenient in ICD-10
During these early days of ICD-10 payers are accepting codes that aren't quite as specific as they should be. This won't last forever.
At One Month, ICD-10 Seems To Be Going Smoothly
Everything seems fine on the surface with ICD-10 thus far, but is there a false sense of security?
Chronic-Care Patients: Easing the Burden on Physicians
A new billing code allows docs to be reimbursed for non face-to-face care for patients with two or more chronic conditions lasting 12 months or more.
Not Reflecting Medical Necessity; TCM/Home Visits; Split-Bill Encounters
Our coding expert discusses coding for medical necessity, TCM/home visits, using modifier 25 with the AWV, and split-bill encounters.
ICD-10: What to Expect after the Deadline
It's all been about successful implementation up to Oct. 1, but soon practices should focus on life after ICD-10 becomes a reality.
Cautious Optimism in the Early Days of ICD-10
The early returns on ICD-10 from payers and a clearinghouse have been positive. Yet, no one is ready to pop the champagne and celebrate quite yet.
Most Commonly Unexpected Denied Procedures: Aug. 2015
What were the top five most commonly unexpected procedures that were denied in August? RemitData laid out all the answers in this infographic.
Use Modifier 78 When Treating Complications in the OR
When billing for an unplanned return to the OR that is related to the original procedure, use modifier 78.
Top 10 ICD-10 Diagnostic Codes from Oct. 1
Curious about the top ICD-10 codes being used by your peers? Here's a short list provided by EHR vendor Practice Fusion.
Early Lessons of ICD-10 for One Practice
It’s early in the ICD-10 transition, but one doc began dual coding over a year ago and already has a few lessons to dole out.
For Practices, the ICD-10 Roller Coaster Has Just Begun
The challenges of ICD-10 are only getting started with denial and claim error rates set to rise. Here’s one way to avoid these travails.
Don't Let ICD-10 Consume Your Every Moment
With the rollout of ICD-10 it's important to keep a sense of normalcy in other critical areas of your practice. Here are some ways to do that.
ICD-10 is Here at Last, Now Make it Work for You
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.
ICD-10 is Up and Running: How to Survive
ICD-10 is now the official language of insurance claims. Here's how to avoid translation problems and other tips to keep your head above water
Ten Last-Minute Resources for ICD-10
Tomorrow is the big day for the ICD-10 transition. If you’re feeling overwhelmed, here are ten last-minute resources to help you out.
It’s Not Halloween, It’s ICD-10 Rollout Day
With ICD-10 implementation deadline and Halloween both coming up, here’s another cartoon that looks at the scary similarities of the two days.
Some Final Tips on ICD-10
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.
The Scary Sights of ICD-10
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?
Partner with Health Systems for ICD-10 Readiness
For small practices that feel behind on ICD-10 readiness, one potential solution would be for them to partner with a local large health system.
Four ICD-10 Myths from a Critical Doc
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
ICD-10's Potential Effects on Your Revenue Cycle
The upcoming coding change requires reimbursement monitoring by practices and perhaps a review of claims appeal processes as well.
New Versus Established; Split/Shared E&M; 92060 Requirements
Answers from our coding expert on questions regarding new versus established patients; split/shared E&M; 92060 requirements; and same-day admit/discharge.
Lessons from CMS: The ICD-10 Readiness Checklist
On Aug, 27, CMS held a “National Provider Call,” on ICD-10. Here are some of the key takeaways and an ICD-10 preparation checklist.
Coding for Smoking Cessation and Obesity Counseling
ICD-10: Don't Let Denied Claims Stick Around
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.
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