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05/20/2019
Exert extra attention on your diagnosis coding, particularly under Medicare Advantage (MA) models, or you may be at risk of a CMS regulations – and your payers’ beneficence. A May 2 report from the OIG found that some physician practices were at the root of basic coding errors that were causing federal overpayments.
05/20/2019
Exert extra attention on your diagnosis coding, particularly under Medicare Advantage (MA) models, or you may be at risk of running afoul of CMS regulations — and your payers’ good will. A May 2 report from the OIG found that some physician practices were at the root of basic coding errors that were causing federal overpayments.
05/20/2019
A big boss-from-hell lawsuit at a major health system shows that workplace discrimination can be hard to address when the perpetrator has power over victims. To keep things from getting out of hand, practices should give their staff a chance to be heard safely in such instances.
05/20/2019
A recent DOJ settlement over misuse of chronic care management (CCM) services acts as a reminder that, even if you’re using a CCM vendor to help, the care of the patient and the documentation of the service to CMS remains your responsibility.
05/20/2019
Overcome the bad reactions that may afflict you when a wind of high denials hits for core allergy testing code 95004 (Percutaneous tests [scratch, puncture, prick] with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests).
05/20/2019
You may be surprised to learn that the place of service (POS) with the most-claimed code under Medicare would be 12 (home) rather than 11 (office) or 21 (inpatient hospital). But that’s where the lion’s share of Medicare’s biggest code is billed. And the number of services claimed for home overall stretches into 10 figures.
05/13/2019

Mark your calendar to review the payments that health care suppliers and manufacturers made to you — or say they did. You’ll have until May 15 to initiate a review of the federal Open Payments program data and dispute any errors.
 

05/13/2019

As a bundler of episodes of care for private payers, you could make a substantial amount of money — but you have to tick a lot of boxes before you take on your first patient to avoid potentially costly mistakes.
 

05/13/2019

Coders will have new ICD-10-CM codes to report pressure-induced deep tissue damage, acute versus chronic embolism and thrombosis and fractures of the facial bones around the eye, among other changes.
 

05/13/2019

The danger of a simple coding gaffe was made clear recently by a DOJ settlement in which a cardiology practice had to pay nearly $400,000 for claims with a faulty combination of two test codes.
 

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