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History often the culprit that foils billing of new patient E/M services
10/25/2013
by: Scott Kraft

The lackluster history associated with new patient E/Ms — particularly when trying to bill the higher-level services — often stands in the way of getting paid, experts tell Part B News.

Automated BI tools: Convenient, but not quite a substitute for a live analyst
10/25/2013
by: Roy Edroso

EHR vendors are rolling out financial analysis tools that pull data from your electronic health records and practice management systems. While this is a promising development, it may not be time to stop using your Excel spreadsheets yet.

Non-disclosure of vendor payments may lead to state law penalties
10/25/2013
by: Marla Durben Hirsch

Providers already know their financial relationships with pharmaceutical and medical device manufacturers will soon become public via an HHS website thanks to the new Sunshine Act. But failing to tell patients about those relationships up front may lead to hefty fines for violating state consumer protection laws.

Avoid POS confusion when your office patient becomes a hospital patient
10/25/2013
by: Roy Edroso

If your practice is affiliated with a hospital or health system, you may be using the wrong place of service (POS) code on your claims — just as CMS is cracking down.

SSA urged to give more weight to NPP findings for disability claims
10/25/2013

In perhaps another sign of the growth in services furnished by non-physician practitioners, the SSA is being asked to give equal weight to the medical findings of NPPs when determining whether a person is eligible for Social Security disability payments.

Billing home INR testing with E/M service
10/25/2013

Will Medicare pay for the home INR testing with code G0250 (M.D. INR test review management) and an E/M service when both are billed on the same date of service?

10 commonly billed Medicare services that dropped in use since 2008
10/25/2013
by: Scott Kraft

Utilization trends for highly-billed services usually move upward as more patients become eligible for Medicare. But here are 10 services that bucked the trend.

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