Meet criteria to report two new codes for prolonged clinical staff observation services in the outpatient and office settings. Prior to 2016, observation care services provided by clinical staff under the supervision of a physician or other qualified healthcare professional were considered part of office or outpatient services. This year, two new add-on codes are […]
2016 Brings Opportunity to Increase Revenue
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Conquer Common Billing Errors
Avoid three frequent billing blunders to keep revenue streams flowing. Financial problems can be directly related to billing errors that could have been avoided simply by reviewing information. Errors can cause delayed payment, costly fines, and lost revenue if not caught. Let’s take a look at a few of the top billing errors, and discuss […]
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Career Opportunities Open Up for a Proud Business Professional
“What do you want to be when you grow up?” That was the question I heard at my first interview after I graduated with a bachelor’s degree in Business. I was sitting across from an Ivy-League-educated physician with beautifully hung plaques displaying his accomplishments, and I knew my response needed to come quick and be […]
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Preserve Revenue with an ABN
When Medicare doesn’t cover services, this form may be your only recourse for getting paid. By Kasandra Bolzenius, CPC Failing to properly issue an Advance Beneficiary Notice of Noncoverage (ABN) to your Medicare patients could mean your establishment is saying goodbye to revenue opportunities and jeopardizing patient satisfaction. Breakdown of ABN Requirements The Centers for […]
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Minimize Your NCCI Denial Risk
Maximize revenue cycle profits by watching bundling. Becoming knowledgeable about National Correct Coding Initiative (NCCI) policies and edits may be the difference between having a profitable revenue cycle or placing your facility at risk for denials. In recent years, NCCI policies and edits have become key factors in outpatient facility and professional claims denials. You […]
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Get Patients to Pay in Full
Save time and make money by updating your payment processes. For many healthcare practitioners, collecting patient payments is a challenge. Using the proper tools, however, healthcare practitioners can implement streamlined payment acceptance practices to better sustain their business. Don’t Leave Money on the Table when Billing According to a study from global management firm McKinsey […]
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MIPS: Get In the Game
This first year should be easy, but everyone in your practice must play by the rules. It’s June 2017, half way through the first performance year of the Merit-based Incentive Payment System (MIPS). By now, your physician practice should have received a letter from the Centers for Medicare & Medicaid Services (CMS) informing your clinicians […]
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Fine-tune Your Reimbursement Process
Tips for collecting what is due to your office. By Christy Richards, CPC, CPMA, AAPC Fellow Your practice’s financial well-being depends on reviewing all the parts of your revenue cycle and streamlining the payment process to ensure every opportunity to collect is used. To get you started, here are a few areas that often require […]
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How Small Practices Can Increase Revenue
Virtual groups will allow more clinicians to participate in MIPS to earn incentive payments. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve also […]
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Oil Your Practice Management Skills in 2018
It’s the new year and the perfect time to make sure your physician’s practice is productive and compliant, and most importantly that your patients are happy. The way you manage patients, the revenue cycle, technology, staff, and medical records can help your practice’s gears move at maximum efficiency to promote a workflow that makes the […]
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Break the Cycle of Poor Physician Documentation
Their revenue and reputation are on the line. It has become clear that physicians are caught in a cycle of poor documentation because that is what they are taught by their peers. Coding professionals have an opportunity to bring it to an end by promoting and teaching a culture of proper medical record-keeping, which accurately […]
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Two Steps to Reducing Lost Revenue
Insurance verification and precertification play a big part in payment. Insurance verification and precertification play a major role in a practice or hospital’s revenue cycle management. Without these two fundamental steps, there is a high chance you’ll miss covered charges, eligibility, and patient liability. Each of these can negatively affect a provider’s accounts receivable or […]
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Don’t Break Your Fracture Care Revenue Cycle
Coding thoughts for closed treatment of fractures without manipulation Coding closed treatment of fractures without manipulation can be a challenge. To ensure your coding results in proper reimbursement for the services rendered, let’s review fracture types, applicable codes, and the work they represent. Fracture Treatment Isn’t One Size Fits All When a patient is initially […]
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Protect Your Physician Office from Embezzlement
Put safeguards in place to make it harder to be a thief’s target. Embezzlement happens in large and small practices, often because there are few checks and balances to catch theft. An employee who is determined to steal will find a way, but some simple steps could prevent an employee from giving into the temptation. […]
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MACRA Call Provides Answers
Wondering what MACRA stands for? Or how to participate in MIPS? May 16 is your chance to ask questions and get answers. The Centers for Medicare & Medicaid Services (CMS) is holding a free event: Quality Payment Program: Answering Your Frequently Asked Questions Call, on May 16 from 1:30 to 3 p.m. ET. What to […]
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CMS Rolls Out New MIPS Participation Status Tool Feature
Don’t look in the mail for a participation status letter from the Centers for Medicare & Medicaid Services (CMS) this second year of the Merit-based Incentive Payment System (MIPS). The agency did not mail individual letters outlining 2018 participation status. To determine whether your clinician or clinician group is eligible to participate in MIPS in 2018, go to […]
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Learn How to Avoid FQHC Billing Roadblocks
Overcome billing challenges with processes that pave the way to a healthy revenue cycle. Federally qualified healthcare centers (FQHCs) are taking on a more prominent role in our healthcare system, providing primary care, as well as multi-specialty services including obstetrics/gynecology (OB-GYN), mental health, vision, and dental services. Because of the wide array of services provided […]
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Appeals Backlog Gone in 4 Years: Medicare
By law, the Administrative Law Judge level of Appeals has 90 days to resolve appeals submitted to the ALJ level. However, the Department of Health and Human Services (HHS) Office of Hearings and Appeals (OMHA) has been unable to keep up with the number of appeals submitted to them which has lead to a huge […]
The post Appeals Backlog Gone in 4 Years: Medicare appeared first on AAPC Knowledge Center.
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