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Tool of the Month

Tailor these authorization forms to use in your practice and ensure you’re compliant in your use of protected health information (PHI).


Use this quick guide to ascertain Medicare-covered preventive services, most of which came at no cost to your patients. You will also find each service’s HCPCS and CPT codes in addition to applicable ICD-9 and ICD-10 diagnosis codes.


Here's a list of questions to give  physicians prospects to get them thinking about what they really want in a practice.

Here are the 2015 Medicare national allowable fees (not adjusted for locality) for 2015, based on revised RVUs and conversion factor released by CMS on Dec. 30, 2014. 
Manny Oliverez, CEO of Capture Billing in South Riding, Va., swears by a cover letter his billers use on claims with the problematic 24 modifier, along with good documentation.
Take note of revisions to the procedures and services covered by the Stark Physician Self-Referral rule in the physician fee schedule and make sure your practice isn’t involved in problematic referral arrangements for them.
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.

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. 

Use this chart to determine whether to use the 1995 or 1997 E/M guidelines for documenting your claims.
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.


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