September 22nd 2023
Experts agree that when it comes to combatting the opioid crisis, physicians need to shift their mindset and start focusing on data integrity.
September 20th 2023
Automation can play a large role in your coding strategy.
September 7th 2023
New diagnosis definitions for the 2023 E/M codes.
September 5th 2023
Your weekly dose of wisdom from the Physicians Practice experts.
September 1st 2023
Can you tell the difference between an annual physical exam and an Annual Wellness Visit (AWV)?
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.
Understanding Your Claims Denials
When you look at your cash inflow each month, are you disappointed? That's why it is so important to identify why your claims are being denied.
Improve Compensation by Documenting Prolonged Services
Proper documentation and reporting of codes for prolonged services allows providers to improve compensation for lengthy outpatient services.
Despite Minor Issues ICD-10 Rollout Is Smooth
Since the implementation of the ICD-10 coding system, most claims are processing smoothly and rejection rates have been minimal.
Changes to Incident-To Billing; Time-Based Coding
Answers from our coding expert on questions regarding incident-to billing; time-based coding; and specificity in ICD-10.
Spelling Out Medical Necessity; Duplicative Coding
Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.
Upcoding vs. Downcoding: Know the Difference
Wrongful Payer Denials: How to Handle Them Quickly
When you are wrongfully denied for a single code or entire claim, do you know what to do?
Modifier 58 vs. Modifier 79; Coding from Fourth-Year Residents
Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.
ICD-10 Poll Reveals Few Problems in Transition
Despite all the hoopla surrounding ICD-10, nearly half the practices polled by Physicians Practice had no problems in transitioning to the new code set.
Best Billing Strategies to Grow Revenue for Your Practice
Here are three best practices for large practices that need to increase billing efficiency and keep the revenue flowing.
ICD-10 Codes for the Christmas Season
‘Tis the season! Cartoonist Jon Carter reveals that a few Christmas and holiday characters and traditions are just well-disguised ICD-10 codes.
One Doc 'Pleasantly Surprised' by ICD-10 Transition
For many physicians like Theo Felts, a family practitioner in Overland, Kan., ICD-10 has been no sweat at all. In this Q&A, he discusses the transition.
Survey: How is ICD-10 Going at Your Practice?
Is your practice suffering with ICD-10 or has it been a smooth transition? Take a quick five-question survey and share your experiences.
How to Apply Modifier 58
Physicians should use modifier 58 to indicate a staged or related procedure that was planned in advance.
Set Your ICD-10 Goals for 2016
The ICD-10 transition will continue into the next year for practices. Here are some tips you’ll need to take in 2016.
Train Staff to Address ICD-10 Related Coder Shortage
With a dearth of coders thanks to the ICD-10 transition, some practices find that training current staff is the best way to get good coders.
15 Funny Fall ICD-10 Codes
Fall brings a new set of activities that may require new ICD-10 codes at your practice. Here's a list of 15 possible – and funny – autumn injuries.
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.
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