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02/23/2015

Tell your clinicians they should not rely on Medicare’s validation process to protect them from the quality reporting pay cut if they don’t hit all four reporting requirements, experts warn. A provider must navigate a maze of rules, and the tougher quality reporting requirements means a tougher review process.

 
02/23/2015

Physician practices classified as provider-based locations would be among the biggest losers under President Barack Obama’s fiscal 2016 Medicare budget proposal, according to a Part B News analysis of the proposal.

02/23/2015

Now that the AMA E/M service guidelines list a bullet point for “military history” under the patient’s social history, practices have the opportunity to develop this aspect of past family social history to zero in on potential treatment areas, one physician recommends.

 
02/23/2015

My physician has a Medicare patient who had a wound that required incision and drainage, but the doctor also billed for administering tetanus vaccine and the vaccine... Medicare denied it, claiming patient responsibility. Does Medicare not cover tetanus vaccine?

02/23/2015

Institute simple, fail-safe procedures — such as single-sided, numbered pages in the documentation — to satisfy additional documentation requests (ADR) and keep your claims from being rejected.

02/23/2015

Pay attention to vaccine and vaccine administration codes with the highest denial rates to avoid losing out.

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