In some cases, reimbursement could be at risk if you don’t hang on to photos. When it comes to eye care tests, you might think that as long as you submit the right codes, you’re on the road to strong [...]
Remember, Medicare is a whole different world when it comes to gifting to your associates. Giving gifts to those you work with may seem like a natural way to share holiday cheer this time of year — but be careful [...]
Tip: Update your practice holiday gift guidelines to avoid AKS and Stark snafus. For many, the holidays are a happy time to spread joy and cheer, and gift giving is at the top of the list to make an associate [...]
Hint: Coordination and value are at the root of the recommended changes. HIPAA compliance can be a hassle, but it also safeguards patients’ privacy. However, some industry players feel that old rules get in the way of coordinating care between [...]
State plans to tighten background checks. Members of the home health industry know there are fraud hot spots around the country, most notably evidenced by the existing moratoria areas and the HHS Office of Inspector General Medicare Fraud Strike Force [...]
Prepare for MIPS and APMs. Fee for service is on the way out, and the Merit Based Incentive Program System (MIPS) is the wave of the future for Medicare pay. MIPS comes compliments of the Medicare Access and CHIP Reauthorization [...]
ICD-9 had a lot of options, but ICD-10 has even more. If your physician treats a patient diagnosed with diabetic neuropathy, be prepared to have numerous ICD-10 code choices for your claim. Also be prepared to look for documentation regarding [...]
ICD-9 had a lot of options, but ICD-10 has even more. If your physician treats a patient diagnosed with diabetic neuropathy, be prepared to have numerous ICD-10 code choices for your claim. Also be prepared to look for documentation regarding [...]
Hint: Make sure your primary diagnosis matches the procedure codes. You may be an expert at podiatry codes but you could still be mystified when it comes coding and billing peripheral nerve surgeries for conditions such as tarsal tunnel and [...]
Check CMS’s complete list for your practice. Depending on the type of procedures your general surgeons routinely perform, a host of different quality measures might help you avoid the coming penalties for non-participation in Physician Quality Reporting System (PQRS). For [...]
