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06/27/2016
Many practices underutilize SBIRT services, according to coding and billing experts. Use the questionnaires provided here, including the Alcohol Use Disorders Identification Test (AUDIT), to begin providing alcohol and drug screening to your patients – and get paid for those services.
06/27/2016
Install a plan to document and code for alcohol and drug screening services to avoid losing out on reimbursement for work that can greatly benefit your patients — some of which your practice may already be doing.
06/27/2016

If you’re looking to contract with Medicare Advantage (MA) plans, or are having trouble with the ones you have, be prepared to address issues promptly, insist on your rights and make sure your MA patients are informed.

06/27/2016

A recent Supreme Court decision on the applicability of the False Claims Act may encourage prosecutors to come after you for fraud not directly related to Medicare regulations — including such seemingly irrelevant errors as failing to maintain proper licensure on NPPs.

06/27/2016

Revisions and new items added to the HHS Office of Inspector General’s 2016 Work Plan as part of the mid-year update are more likely to hit hospitals and home health agencies than physician practices, but there are still a handful of key changes that affect physician groups.

06/27/2016

Add new billing caps to your claims-submission process because the latest quarterly update to the Correct Coding Initiative’s (CCI) collection of medically unlikely edits (MUEs) introduces new limits on 373 services and revises another 21 services.

06/27/2016

http://pbn.decisionhealth.com/Articles/Detail.aspx?id=522136Denial rates for common debridement and foot care codes have held fairly steady in recent years -- with a few exceptions.

06/27/2016

At my office, the providers appear to perform the same amount of work regardless of diagnosis. When is it appropriate to bill an E/M service in addition to debridement or callus removal codes?

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