2016 Brings Opportunity to Increase Revenue
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...
View ArticleConquer 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...
View ArticleCareer 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...
View ArticlePreserve 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...
View ArticleMinimize 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...
View ArticleGet 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...
View ArticleMIPS: 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...
View ArticleFine-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...
View ArticleHow 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...
View ArticleOil 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...
View ArticleBreak 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...
View ArticleTwo 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...
View ArticleDon’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...
View ArticleProtect 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...
View ArticleMACRA 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:...
View ArticleCMS 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...
View ArticleLearn 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,...
View ArticleAppeals 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...
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