No response to ADRs the top reason for denial. It seems to be raining audits for chiropractors. After an alarming OIG report this November, get ready for another shady report from Railroad Medicare, stating an error in almost 60 percent [...]
Ring in the New Year without a hitch by implementing these simple strategies.As your practice prepares for the calendar to turn to 2012, you want to ensure a smooth transition while continuing to collect your reimbursement. Follow these simple tips [...]
Check the updated guidelines if you bill anesthesia services on behalf of a critical access hospital. If you bill anesthesia services on behalf of the provider through a Method II critical access hospital (CAH), your bottom line could improve starting [...]
Question: My urologist performed a looposcopy and with a grasping forceps removed the ureteral stent that was in the ileal conduit. How should I report this procedure?Tennessee SubscriberAnswer: You have two coding options for this scenario.Option 1: Report 44380 (Ileoscopy, [...]
Incorrect caps could cost you.Warning: If you're a hospice whose Medicare reimbursement bumps up against the per beneficiary cap amount, you may have to give money back to Medicare for previous years. The Centers for Medicare & Medicaid Services has [...]
Plus: Quality guidelines paid off for chronic patients.The right time to start slashing Medicare spending was "ten years ago," Federal Reserve Chairman Ben Bernanke told Congress recently. But unless Congress starts playing catch-up and fixing the program, the cuts will [...]
Your practice could see a reimbursement boost--but also more quality guidelines--if a new study garners attention from payors.Researchers from the RAND Corp. and UCLA found better outpatient care improved health outcomes for non-elderly patients. Patients whose care followed treatment guidelines [...]
Survey proves once and for all that money can't buy happinessDoctors in areas with more medical resources are less satisfied with the quality of care in their areas than doctors in resource-poor areas, Dartmouth Medical School researchers found in a [...]
CMS backtracks on cap drop released earlier. Hospices whose reimbursement is limited under Medicare's per-beneficiary cap are breathing a sigh of relief over their 2005 cap amount. But another cap problem still looms on the horizon. The Centers for Medicare & [...]
CMS could retroactive lower cap for 2004, triggering overpayments.Hospices whose reimbursement is limited under Medicare's per-beneficiary cap have received bad news.The Centers for Medicare & Medicaid Services has issued updated payment rates for hospices for fiscal year 2006, which will [...]
