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Mobile health apps slowly gain tractionMobile health apps are becoming more sophisticated and reliable, but experts say they're still a long way from becoming a mainstream tool to help physicians and patients manage chronic health conditions. When cell ph

08/01/2016

More bundled payment models could qualify as MACRA advanced APMs

08/01/2016

by: Laura Evans, CPC

If your practice is in a mandatory bundled payment model, such as the Comprehensive Care of Joint Replacement (CJR), a new rule means you may qualify to receive incentives as an advanced alternative payment model (APM).

Solve initial, subsequent ICD-10 coding for wound care and procedures

08/01/2016

by: Richard Scott

Brush up your surgical coding under ICD-10 to accurately report a patient’s initial or subsequent visit and cut out any denials caused by an easily avoidable coding infraction.

Use federal law to beat takebacks from private payers

08/01/2016

by: Roy Edroso

If private payers are making shady recoupments on your claims, consider using an Employee Retirement Income Security Act (ERISA) defense to get federal law on your side.

Here are 5 tips to avoid denials for coronary sinus catheter inserts

08/01/2016

by: Laura Evans, CPC

Question: We are receiving consistent denials when we report the CPT code for unlisted cardiovascular services (93799) for insertion of a coronary sinus catheter. It is used to introduce medication in heart cases and not for pacing or electrophysiology studies. Can you help?

OK to report canalith repositioning same day as E/M, AMA says

08/01/2016

by: Laura Evans, CPC

Question: I have a provider who is billing CPT 95992 (Canalith repositioning procedure[s] [e.g., Epley maneuver, Semont maneuver], per day) along with an E/M code. Everything that I can find says these two codes are bundled and not separately reimbursed. Could you please shed some light on this?

Top new codes in 2014 got used more, denied less

08/01/2016

by: Roy Edroso

The CPT and HCPCS codes that debuted in 2014, the most recent year for which we have Medicare data, saw a lot of action in their freshman year but didn’t get a lot of denials — which was a nice change of pace from new codes in the previous year.

6 steps to prepare for Medicaid, CHIP managed care overhaul

07/28/2016

by: Marla Durben Hirsch

Be prepared for changes in your dealings with managed Medicaid plans. CMS has finalized a new rule that updates the plans’ requirements, which will create new compliance and administrative burdens and potentially impact your revenue.

Prepare to add prolonged service codes to your E/M roster

07/25/2016

by: Richard Scott

You’ll find a new billing opportunity for the work your providers conduct behind the scenes in 2017, as CMS proposes to activate two CPT codes – 99358 and 99359 – that pay for non-face-to-face prolonged services, according to the proposed 2017 Medicare physician fee schedule.

Prepare to add new prolonged service codes to your E/M roster

07/25/2016

by: Richard Scott

You’ll find a new billing opportunity for the work your providers conduct behind the scenes in 2017, as CMS proposes to activate two CPT codes — 99358 and 99359 — that pay for non-face-to-face prolonged services, according to the proposed 2017 Medicare physician fee schedule.

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