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10/10/2016

Take note if your providers perform moderate sedation as a stand-alone service or in conjunction with procedures that include moderate sedation: Staff must understand the sweeping revamp of moderate sedation policy in the CPT 2017 manual or your revenue from private payers and Medicare will come up short.

10/10/2016

The road to better rates has to start somewhere: Before you can ask for better terms on your payer contracts, you have to make sure you’ve got the latest versions and that you understand their rates and relative values.

10/10/2016
Standardize your workflow to overcome prior-authorization hurdles faced when dealing with the diverse Medicare Advantage (MA) plans on your patient roster. Doing so can save you time and headaches.
10/10/2016
You could find a new path to payment when you deliver psychiatric services in 2017 given Medicare’s proposed coverage of several primary care-based codes, but you may encounter a hard lift in adopting the Collaborative Care Model (CoCM) upon which the codes are based.
10/10/2016
Providers performed admirably when billing the most commonly claimed office visits (99213, 99214), yielding a denial rate under 5%, but many practices struggle with low-level E/M codes, according to a look at three years of Medicare E/M claims data.

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