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04/28/2014
Almost 60% of 95866 (Needle electromyography; hemidiaphragm) claims were denied in 2012, a jump from just 16.2% in 2011 and 9.5% in 2010.
 
04/18/2014

Plan on following up with more serious compliance efforts if you use HHS’ new HIPAA security risk analysis (SRA) tool, which experts say has serious drawbacks.

04/18/2014

Don’t assume that a patient in intensive care is eligible for a critical care service (99291-99292).

04/18/2014

Critical care services come with complex documentation requirements that have the potential to imperil your payments.

04/18/2014

ICD-10 may be delayed, but meaningful use standards won’t be, say experts — now’s the time to get back on track to avoid an up to 2%  payment penalty in 2015.

04/18/2014

Don’t let rumors about payers’ acceptance of certain modifiers prevent you from appending modifiers and capturing your appropriate reimbursements.

04/18/2014

Lab sues FTC, no sequester relief for physicians, and help with modifiers.

04/18/2014

Internal medicine, critical care and family practice saw jumps in denials for critical care code 99291 in 2012 from previous years.

04/14/2014
Spy on your competitors, determine whether you’re an outlier for your location and see what percentile your Medicare charges fall into for each procedure you perform. Those are just three things you can do with the provider-identified claims data CMS released on April 9.
04/14/2014
Want to check the services a doctor billed to Medicare, find the 50th percentile Medicare payment amount for a service or see what doctors of the same specialty in your city charged to Medicare? You can do all of that and more with the newly released claims data files, and you can do it quickly if you know which file contains the information you need.

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