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12/08/2014

For the new monthly chronic care management (CCM) services, practices should bill the claim on “the last day of the calendar month for which the CCM service is billed,” according to a senior CMS official.

 
12/08/2014

When billing one of the two transitional care management (TCM) codes, stave off denials by ensuring proper documentation of medication reconciliation and key dates within the 30-day service window.

 
12/08/2014

A proposed new “track” for accountable care organizations offers more revenue potential for participants in the shared-savings program.

 
12/08/2014

Though you can’t expect much profit from it, you should take advantage of the season to reach out to new patients with a flu shot program.

 
12/08/2014
Take extra time to review claims with modifier 24 before billing them after a Medicare administrative contractor’s (MAC’s) probe showed high denial rates, which suggests increased scrutiny is coming.
 
12/08/2014
Manny Oliverez, CEO of Capture Billing in South Riding, Va., swears by a cover letter his billers use on claims with the problematic 24 modifier, along with good documentation.
12/08/2014
General surgery and orthopedic surgery are among the top 10 specialties in which modifier 24 denials occur, but they aren’t the leaders: Podiatry, urology and dermatology outpace them in denial rates.

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