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08/01/2016
Double down on your compliance with the most-frequently cited OSHA standards in health care because the feds are about to double down on fines — and more in some cases.
08/01/2016
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).
08/01/2016
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.
08/01/2016
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.
08/01/2016
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?
08/01/2016
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?
08/01/2016
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.
07/28/2016
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.

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