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As physician quality reporting system (PQRS) requirements become more stringent for practices, automated alternatives may be your best bet to report properly and avoid a 4% negative payment adjustment, CMS told providers during a call July 24.

Pilot project launches to reduce massive appeals backlog at ALJ level

07/31/2014

by: Josh Poltilove

If your practice has 20 or more claims — or at least $10,000 in claims —at the administrative law judge (ALJ) level of appeal, look at participating in a new pilot project to reduce the wait time to resolve denials.

Follow these tips to find qualified, affordable medical interpreters

07/31/2014

by: Ben Hartman

Seek out interpreters who have received at least 40 hours of training and are considered “qualified” medical interpreters for your deaf and non-English-speaking patients or risk violating your patients’ civil rights and subjecting your practice to federal penalties and civil lawsuits.

3 key features to examine before making decision to purchase, switch PMS

07/31/2014

by: Scott Kraft

Upgrading the technology at your practice, usually by adding or changing an electronic health record (EHR), is often accompanied by a change to technology you’ve had for a longer period of time – the practice management system (PMS).

Primary care denial rates for observation down for initial, up for subsequent

07/31/2014

Primary care providers saw upticks in denials of all three subsequent observation codes (99224-99226) from 2011 to 2012, according to the latest Medicare data available.

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