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Tool of the Month
08/25/2014
For your reference, here are the MUEs that took effect July 1 that affect primary care practices the most. As you can see, CMS has expanded its presentation of these edits. MUEs limit the number of units of service for which a code may be billed by a provider for the same patient during one calendar day.
06/06/2014

Use this tool, provided by Nancy Enos, consultant and coding educator at Enos Medical Coding in Warwick, R.I., to ensure proper E/M coding. 

05/26/2014
Use this chart to determine whether to use the 1995 or 1997 E/M guidelines for documenting your claims.
12/06/2012
The first round of meaningful use audits has already begun for providers who already received their meaningful use incentive payment. Here is a copy of the spreadsheet file you'd use to submit your supporting documentation to CMS contractor Figliozzi & Company if you were to receive this intiial audit.
07/16/2012

CMS’ proposed 2013 Medicare physician fee schedule boasts several changes, chief of which are new measures for the Physician Quality Reporting System (PQRS) program. Download Part B News’ tool detailing all 13 proposed quality measures via the “Download file” link. 

04/09/2012

This month's tool is a comprehensive list of the average sales price (ASP) drug prices for the second quarter. You will be able to view an Excel file of the  the changes with the first quarter changes alongside for comparison.  A PDF version of the data is also available for download here.

03/08/2012

This month's tool is a ready-to-use encounter form for your annual wellness visits tailored specifically for patients receiving their subsequent visit of this preventive service CMS initiated in 2011.

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.

01/27/2012

CMS is giving you extremely vague instructions in developing your own HRA form to add to the 2012 annual wellness visit (AWV) paperwork. Well rather than do the leg work yourself, use this tool as a template for your practice's HRA form.

10/31/2011

This sample letter will serve as a great tool for your practice when going to renegotiate your reimbursement rates with your private payer.  You can use the letter, in PDF format,  as a guide when writing your own renegotiation letter, says the letter's author Brian Agnew, president of Supero Healthcare Solutions in Austin, Texas.

The key: Your letter should be straightforward and brief, no more than two pages, dictating what you want to renegotiate and a glimpse of why your practice is important to the payer and the leverage it can offer, experts say (PBN 10/31/11). The key is to explicitly say what you want to do without tipping your hand, Agnew says.

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