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Draw up a date-of-service primer for imaging, E/M services to get paid

08/28/2017

Clarify the date-of-service rules you follow for reporting common radiology, pathology and E/M services and you’ll overcome a common pitfall linked to revenue-draining claims rejections.

If payers, or their vendors, are skimming your payments, tell them to stop

08/28/2017

by: Roy Edroso

CMS has been playing with new guidance on “virtual credit card” payments and onerous charges on electronic fund transfer (EFT) payments that might help you keep more of your money – but before their help arrives, you may prefer to help yourself.

Update: E/M pay cut tied to modifier 25 affects only certain payer plans

08/28/2017

by: Richard Scott

Some providers face a fee schedule cut of 50% for E/M services billed with modifier 25 (Significant, separately identifiable E/M service), but you’re in the clear unless you treat patients who carry insurance from Independence Blue Cross or one of its parent company’s other subsidiaries

Annual training is key in meeting the bloodborne pathogen standard

08/28/2017

by: Marla Durben Hirsch

Make sure that your workers have been trained in the Occupational Safety and Health Administration’s (OSHA) compliance requirements, especially now that the penalties for violations have increased.

Proposed physician fee schedule: Payment impact on CVC, PICC and artery lines

08/28/2017

CMS intends to trim relative value units for the following five codes. The chart shows how the changes would impact your payment next year. All fees are national.

Part B News briefs

08/28/2017

AHIMA rolls out a model health record request form; medical biller sentenced to four years for taking cut of physician’s fraud funds; double-billing doctor pleads guilty to fraud.

Professional services modifier 26 goes down smooth — but watch for outliers

08/28/2017

by: Roy Edroso & Julia Kyles

With a few exceptions, Medicare providers seem to have a pretty good understanding of modifier 26 (Professional services) and see denial rates mostly lower than 10%, though some notable exceptions exist.

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