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02/28/2012

Struggling to collect from patients with high deductible health plans (HDHPs)? This tool gives you multi-faceted bullet points on how to develop a workflow process to improve collections from both new and existing patients.

02/27/2012

Your providers are safe from the impending 27.4% cut to their Medicare payments set to hit March 1 thanks to Congress passing a temporary ‘doc fix’ Feb. 17 through the end of 2012.

Important: Congress originally approved a two-month fix that was set to expire Feb. 29 that will now last through Dec. 31. President Obama hadn’t yet signed the bill extension into law as this issue went to press.

02/27/2012

Any plans you may have to begin transitioning to ICD-10 should now be put on hold in light of last week’s announcement that HHS intends to delay the ICD-10 implementation date beyond Oct. 1, 2013, the Medical Group Management Association (MGMA) instructs.

02/27/2012

You and your peers have been either slowly getting your Medicare payments or not getting them at all since the industry switch to HIPAA 5010 on Jan. 1. While it’s been confirmed that your payments are in a virtual limbo between clearinghouses and payers, there are numerous reasons why your claims are getting “lost.”

02/27/2012

You must have a clear plan of action before you drop a payer after a bout of bad contract negotiations. There are key preparatory steps you must take to ensure your practice can thrive after the split, experts tell Part B News.

02/27/2012

Carefully and cautiously bill consult codes to private payers and Medicare Advantage plans so you’ll reap the benefits of increased revenue and avoid denials. Remember: While a growing number of private payers have also eliminated consults, many still allow and pay for consult codes.

02/27/2012

CMS hasn’t forgotten about it’s promise to update the Provider Enrollment Chain Ownership System (PECOS) website with a user-friendly “fast-track” feature (PBN 9/26/11). The feature is now available on the PECOS website.

02/27/2012

This chart examines how practices incorporate patient satisfaction survey results into their workflow. The data, which comes from the Medical Group Management Association’s (MGMA) Performances and Practices of Successful Medical Groups: 2011 Report based on 2010 data, measures the utilization rates of 11 different options a practice has in using its patient satisfaction results.

02/27/2012

Is it correct to bill 63707(repair of dural/cerebrospinal fluid leak, not requiring laminectomy) or 63709 (repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy) with modifier 59 (distinct procedural service) if a neurosurgeon breaches dura mater in the brain or spine during surgery?

02/27/2012

You may be missing out on extra Medicare reimbursements for new preventive services simply because your physicians still don’t realize – two months into 2012 – that their non-physician practitioners (NPPs) can assume the majority of the workflow.

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