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Veterans Administration Geographically-Adjusted 80th Percentile Conversion Factors

Billing

Veterans Administration Geographically-Adjusted 80th Percentile Conversion Factors

A conversion factor is a dollar amount that is applied to an adjusted Relative Value Unit (RVU) to arrive at a fee. Conversion factors can be based on a geographic location, as well as a national level. The Veterans Administration has provided the following information about how they create their geographically-adjusted 80th percentile conversion factors:

 

 

(3) CPT/HCPCS codes are separated into the following 23 CPT/HCPCS code groups: Allergy immunotherapy, allergy testing, cardiovascular, chiropractor, consults, emergency room visits and observation care, hearing/speech exams, immunizations, inpatient visits, maternity/cesarean deliveries, maternity/non-deliveries, maternity/normal deliveries, miscellaneous medical, office/home/urgent care visits, outpatient psychiatry/alcohol and drug abuse, pathology, physical exams, physical medicine, radiology, surgery, therapeutic injections,

Crafting a Comprehensive Approach to Billing Compliance

Billing

Crafting a Comprehensive Approach to Billing Compliance:The convergence of internal and external market dynamics presents a golden opportunity for healthcare finance leaders to reassess their billing and compliance procedures. Externally, both federal and commercial payors are intensifying audits and scrutinizing pre-payment claims, delaying cash flow, increasing the risk of penalties and clawbacks, and jeopardizing the financial bottom line of healthcare organizations nationwide.?
Health Insurers Are Ignoring Price Transparency Rules at the Expense of Private Practice

Billing

Health Insurers Are Ignoring Price Transparency Rules at the Expense of Private Practice:Since January 1, 2023, the Transparency in Coverage Rule required health insurance providers and health insurers to provide price information to participants in a publicly accessible place. This means consumers should, in theory, be able to go to any payor’s website and see what different doctors, hospitals, and health systems are charging for the same services. The law was meant to allow consumers the ability to shop for healthcare services based on cost and, thus, hopefully lower their healthcare expenditures.
Understanding Basics of Behavioral Health EOB

Billing

Understanding Basics of Behavioral Health EOB:Understanding how insurance companies work can be a challenging task for behavioral health providers. Navigating Explanation of Benefits (EOBs) is crucial for ensuring proper reimbursement and a smooth claims process. This guide will equip you with the knowledge to decipher these often-confusing documents.
Basics of Billing for New Patient Visits in 2024

Billing

Basics of Billing for New Patient Visits in 2024:New patient visits can be bustling hubs of activity, but ensuring flawless billing for new patient visits shouldn't add to the chaos. This article equips primary care providers with the latest knowledge and technical expertise to navigate the process seamlessly, maximizing new patient visit billing accuracy and minimizing compliance risks.
Tips for Maximizing Your Medical Group's Revenue Through Outsourced Billing and Coding

Billing

Tips for Maximizing Your Medical Group's Revenue Through Outsourced Billing and Coding:Managing billing and coding processes can be intricate and challenging for medical groups. It requires specialized knowledge, constant attention to regulation changes, and plenty of time. Outsourcing these processes can offer numerous advantages, including maximizing revenue.
The Hidden Costs of Using an Ineffective Payment Processing System

Billing

The Hidden Costs of Using an Ineffective Payment Processing System:At any given time, over a billion payments are being processed online, and this includes healthcare services. That's because patients today want the ease and speed of transactions that traditional methods simply don't offer. Plus, healthcare practices have extra peace of mind knowing that modern technology gives them security protections to keep their patients' data safe. This is where a payment processing system comes in.
Medicare Proposed Rule for 2024 Will Not Improve Radiology Reimbursement

Billing

Medicare Proposed Rule for 2024 Will Not Improve Radiology Reimbursement :The Centers for Medicare and Medicaid Services (CMS) announced its proposed Medicare Physician Fee Schedule (MPFS) rules for 2024, including provisions for the Quality Payment Program (QPP).  While not a done deal until the final rule is issued toward the end of the year, the Proposed Rule gives an indication of where CMS is headed with regard to payment policy.  In recent history, even the Final Rule isn’t final because Congress has had to intervene to stave off significant reimbursement reductions.  Here are the highlights of the 2024 Proposed Rule.
The Impact of Insurance Reimbursement on Radiation Oncology Practices

Billing

The Impact of Insurance Reimbursement on Radiation Oncology Practices:The healthcare landscape is intricate and continuously evolving, and nowhere is this more evident than in radiation oncology. 
Medical Billing Values

Billing

Medical Billing Values:Medical billing is not always an easy profession. Medical billers must interact with the medical care triad: the provider, the patient, and the insurance company. Medical billers face audits, upset patients, disreputable insurance companies, and fellow medical billers.
Everything You Need to Know About  HIPAA Rules for Medical Billing

Billing

Everything You Need to Know About HIPAA Rules for Medical Billing:Medical billing companies must access protected health information (PHI) to perform their duties, making them HIPAA business associates. As this is the case, medical billing companies must be HIPAA compliant. So, what are HIPAA rules for medical billing?
Comparative Billing Reports (CBRs): What Are They, and What Do We Do With Them?

Billing

Comparative Billing Reports (CBRs): What Are They, and What Do We Do With Them?:CMS (Centers for Medicare and Medicaid) is always implementing various programs and initiatives aimed at reducing fraud, waste, and abuse.  One such initiative is Comparative Billing Reports (CBRs).  In this article, an overview of CBRs, their purpose, and how they can benefit coding professionals, auditors, and practice managers will be discussed.
Medical Necessary Denials

Billing

Medical Necessary Denials:In 1988, Samuel and Winona decided to have a baby. Samuel, worked at a small sneaker factory outside of Boston where they treated their employees well by providing health insurance as part of their employment.  The factory was not a government employer, or a church which meant that the health insurance was protected by the Federal law and Federal Regulation known as the Employee Retirement Income Security Act (ERISA). 
Investigation of Hospitals Hiding Prices from Patients

Billing

Investigation of Hospitals Hiding Prices from Patients:The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. Compliance is mandatory. The regulation aims to improve the affordability of hospital care by promoting price competition. However, a low compliance level among hospitals would compromise the operational effectiveness of this regulation. Understanding hospitals' compliance status to the regulation has important implications for its enforcement effort and effectiveness assessment.
Verno's Voice: Debt Collection

Billing

Verno's Voice: Debt Collection:I was born into debt collection.  In 1953, both my parents quit high school in their final year.  In 1953, if you quit school, you were a social pariah; no one would hire you, because it was deemed that if you quit school, you would also quit your job.  My parents did find work at a small mom and pop diner, but it barely paid the rent, so we moved to a run-down apartment next to the railroad tracks.  The medical bills for my birth were overdue, and the debt collectors came to our apartment.  In the 1950s, there were no debt collection laws, so debt collectors did everything possible to collect what was owed.  
The Eliminating Kickbacks in Recovery Act Legality of Percentage-Based Compensation

Billing

The Eliminating Kickbacks in Recovery Act Legality of Percentage-Based Compensation:The Eliminating Kickbacks in Recovery Act (EKRA), part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, was passed in 2018. Since its passing, there has been very limited guidance as to how EKRA should be applied. 
Biden National Cyber Strategy Poses Challenges to Healthcare

Billing

Biden National Cyber Strategy Poses Challenges to Healthcare:The Biden administration's newly released national cybersecurity strategy aims to bolster protections across all critical infrastructure sectors, including setting minimum security requirements, enhancing collaboration, and making other important moves.
Get Reimbursed With Billing Guidelines for Audiology Services

Billing

Get Reimbursed With Billing Guidelines for Audiology Services:When billing for audiology services, you need to be careful how you are billing for professional skills and technical skills. Technical component is taken care of by an experienced technician using a specific protocol under the direction of a supervising physician.
How to Outsource Medical Billing for Oncology Practices

Billing

How to Outsource Medical Billing for Oncology Practices:There are certain billing aspects that oncology practices ought to know before hiring third-party billing companies. Oncology medical billing is complex, and medical practices need experts who can handle the revenue cycle management process. 
January is Thyroid Awareness Month: Understand the Symptoms and Risk Factors of Thyroid Disorders

Billing

January is Thyroid Awareness Month: Understand the Symptoms and Risk Factors of Thyroid Disorders:January is Thyroid Awareness Month. The main goal of this annual campaign is to encourage people to learn how to recognize symptoms and risk factors of thyroid disease and the need to seek treatment. According to the American Thyroid Association (ATA), an estimated 20 million Americans have some form of thyroid disease, and up to 60 percent of those with thyroid disease are unaware of their condition.
Regulatory Update: Radiology Faces Revenue Cuts in 2023

Billing

Regulatory Update: Radiology Faces Revenue Cuts in 2023:Once again this year, physicians are uncertain about the amount of reimbursement reduction they will suffer from Medicare cuts. If things are left unchanged, Medicare providers will face a reduction of approximately 8.5% across the board, without considering adjustments made to specific procedure codes.
Payers Wrongly Cutting Payments to Physicians for E/M Services

Billing

Payers Wrongly Cutting Payments to Physicians for E/M Services:Payers have been wrongly cutting payments to physicians for evaluation and management (E/M) services - often automatically through the use of claim-editing algorithms. A new AMA resource helps physicians fight back against health insurer downcoding.
A Case Study on Radiology Billing

Billing

A Case Study on Radiology Billing:Billing for radiology correctly requires more than just keeping track of money. It is a multi-phase process that necessitates persistently calculating money on each step. Throughout the expanding process, one needs to be tenacious and proactive to ensure collection of every cent which is due.
Properly Charging Patients for Missed Appointments

Billing

Properly Charging Patients for Missed Appointments:Patients missing their healthcare appointments without adequate notice can cost practices a lot of money, as well as deprive patients of necessary care.
How MBC Can Help in Reducing Your Gastroenterology Billing Errors

Billing

How MBC Can Help in Reducing Your Gastroenterology Billing Errors:Gastroenterology billing and coding is complex and challenging as gastroenterologists provide both medical and surgical services. Accurate, efficient billing and coding for gastroenterology services ensure the survival of the practice amidst various challenges like the COVID-19 pandemic.
Pain Management Billing and Coding: Common Mistakes and Challenges

Billing

Pain Management Billing and Coding: Common Mistakes and Challenges:There is currently plenty of room to grow in pain management facilities, particularly since the American Academy of Pain Medicine estimates that over 100 million Americans suffer from chronic pain. 
What You Need to Know About Physical Therapy Billing

Billing

What You Need to Know About Physical Therapy Billing:Physical therapists, like any healthcare provider, generally don't get into the profession because they like working with numbers. But no practice is going to succeed without a good understanding of the complex medical billing system.
Incident-To Services by Non-Physician Practitioners: What's Supported?

Billing

Incident-To Services by Non-Physician Practitioners: What's Supported?:Incident-to is often discussed in coding and compliance circles, but when reviewing encounters, I routinely find the criteria fails to meet or support the billing of non-physician practitioners (NPPs) and/or other clinical staff (auxiliary).
Elimination of Certificates of Medical Necessity & Durable Medical Equipment Information Forms

Billing

Elimination of Certificates of Medical Necessity & Durable Medical Equipment Information Forms:This MLN Special Edition Article is for providers, suppliers, billers, and vendors who bill Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) for services and supplies they provide to Medicare patients.
Billing and Coding: Bone Mass Measurement

Billing

Billing and Coding: Bone Mass Measurement:The following is guidance for billing, coding, and other guidelines in relation to local coverage policy L36460-Bone Mass Measurement. This is an excerpt from the article written by Centers for Medicare & Medicaid Services.
Declaration of Blanket Waivers for SNFs

Billing

Declaration of Blanket Waivers for SNFs:In a recent change to the way skilled nursing facilities (SNFs) are regulated, the Centers for Medicare and Medicaid Services (CMS) has issued a declaration of blanket waivers for SNFs.
CMS Provides Four New No Surprises Fact Sheets for Patients

Billing

CMS Provides Four New No Surprises Fact Sheets for Patients:The No Surprises Act launched in January 2022. Many healthcare facilities are still scrambling to comply. 
Gross Collection Ratio vs Net Collection Ratio: Understanding These Financial KPIs

Billing

Gross Collection Ratio vs Net Collection Ratio: Understanding These Financial KPIs:Your holistic practice's success and longevity within your community are predicated upon a streamlined healthcare revenue cycle-part of that comes from understanding a couple of key financial metrics that you can use to evaluate your practice's current performance!
Five Facts about Split Visits

Billing

Five Facts about Split Visits:Got five minutes? You can learn five things about the crazy 2022 rules for Split Visits. Hopefully, this will end a lot of the confusion around these relatively new rules.
Why Health Insurance Companies Hate Price Transparency

Billing

Why Health Insurance Companies Hate Price Transparency:More than a year ago, the federal government passed the Healthcare Price Transparency Act, which was primarily directed toward hospitals. Under the rule, hospitals are required to display their prices and allowed amounts in a machine-readable and consumer-friendly format.
Part 1: Managing Denials Is Important to Good A/R Hygiene

Billing

Part 1: Managing Denials Is Important to Good A/R Hygiene:Revenue cycle management includes tracking claims, making sure payment is received, and following up on denied claims to maximize revenue generation. Several metrics can help you determine whether your revenue management cycle processes are efficient and effective. 
No Surprise Billing Act: What You Need To Know

Billing

No Surprise Billing Act: What You Need To Know:The No Surprise Billing Act may be the most poorly written, difficult to understand set of regulations I have encountered in my legal career.  Stark is much, much easier to understand.  Much of the guidance out there is misleading, if not entirely wrong.  Here is a short explanation of what you need to know.
Pathology Billing Services: All You Want to Know

Billing

Pathology Billing Services: All You Want to Know:Pathology, being the medical science dealing with the cause-and-effect theory of diseases, is an important sector. Similarly, the medical billing and coding process is an important part of all medical practices, including pathology.
Modesto Looks to Join Other Fire Agencies that Bill Insurance for Responding to Calls

Billing

Modesto Looks to Join Other Fire Agencies that Bill Insurance for Responding to Calls:The Modesto Fire Department wants to bill insurance companies when its firefighters respond to car accidents, medical emergencies, fires, and other calls for service. 
Billing Dental Implants Under Medical Coverage

Billing

Billing Dental Implants Under Medical Coverage:Implants can be costly to the patient and the provider, and it is crucial to understand how to bill a patient's medical insurance to ensure there is adequate coverage for the best treatment. Implants are commonly billed in a dental office under a patient’s medical benefits.   
HHS Announces Rule to Protect Consumers from Surprise Medical Bills

Billing

HHS Announces Rule to Protect Consumers from Surprise Medical Bills:Announcement is the first in a series of regulations aimed at shielding patients from increased financial hardships stemming from surprise medical bills.
Sending Surprise Medical Bills to Patients? Think Again

Billing

Sending Surprise Medical Bills to Patients? Think Again:"Requirements Related to Surprise Billing; Part I" is an interim final rule related to Title I (the No Surprises Act) targeting health care providers with the purpose of restricting excessive out of pocket costs to consumers from surprise billing and balance billing. Balance billing, when a provider charges a patient the remainder of what their insurance does not pay, is currently prohibited in both Medicare and Medicaid. This rule will extend similar protections to Americans insured through employer-sponsored and commercial health plans. 
Case Study: Managing Patients, Payments, and a Pandemic

Billing

Case Study: Managing Patients, Payments, and a Pandemic:The COVID-19 pandemic has accelerated demand for contactless experiences that are both digital and convenient across the entire range of patient interactions. However, one of the strongest preferences expressed by healthcare consumers-for online systems to receive and pay bills-has been largely unmet because of legacy mechanisms that require patients to interact with staff and decipher often-confusing paper statements.
Avoid These Top 5 Medical Billing Mistakes

Billing

Avoid These Top 5 Medical Billing Mistakes:Even the most organized healthcare organizations can still fall victim to the most common medical billing mistakes in the industry. Providers who have in-house billing services know the administrative burden that comes with it.
Avoid These Top 5 Medical Billing Mistakes

Billing

Avoid These Top 5 Medical Billing Mistakes:Even the most organized healthcare organizations can still fall victim to the most common medical billing mistakes in the industry. Providers who have in-house billing services know the administrative burden that comes with it. 
Why Will Medicare Administrative Contractors be Holding Claims Up?

Billing

Why Will Medicare Administrative Contractors be Holding Claims Up?:When Congress passed the expansive American Rescue Plan Act last month, most Americans were focused on the direct payment provision of the bill.
Medical Billing Companies: We Are Not a Commodity

Billing

Medical Billing Companies: We Are Not a Commodity:Have you ever wondered why sometimes it seems that the relationship between medical practices and their billing companies on not on a level playing field? I have and it leaves me confused as to why relationships deteriorate even when the billing company is producing excellent results. 
The Pain of an Unfaithful Billing Partner

Billing

The Pain of an Unfaithful Billing Partner:In the vast majority of business and industry, the entity itself takes full responsibility for invoicing (billing) its customers or clients. Hospital-based physician practices are uniquely different. 
Consolidated Appropriations Act Brings New Relief for Providers

Billing

Consolidated Appropriations Act Brings New Relief for Providers:After the release of the Final Rule December 2, 2020, physicians across the country were feeling the pinch of a 10% reduction in the MPFS. 
Critical Care Billing: It's the Little Things

Billing

Critical Care Billing: It's the Little Things:Critical care billing is relatively simple. Documentation requires three items -
Coronavirus Vaccine Update - Billing Codes

Billing

Coronavirus Vaccine Update - Billing Codes:The American Medical Association approved two coronavirus vaccine CPT Codes, 91300 and 91301. Two codes are being used to better track, report, and analyze data for the planning and allocation of vaccines for coronavirus.
Strategies to prevent revenue loss in Gynaecology Billing!

Billing

Strategies to prevent revenue loss in Gynaecology Billing!:What's the main strategy used for Obstetrics and Gynecology billing procedures
How Covid-19 increased value for Telemedicine billing?

Billing

How Covid-19 increased value for Telemedicine billing?:Do you think the current pandemic has added more value for telemedicine services
Improve Patient Billing Experience in a Medical Practice

Billing

Improve Patient Billing Experience in a Medical Practice:While many practices often think about revenue cycle management from a dollars-collected standpoint, looking at the patient's satisfaction with their financial experience is critical, too.
Packaging and Units for Billing Drugs

Billing

Packaging and Units for Billing Drugs:To determine the dosage, size, doses per package and how many billing units are in each package, refer to the NDC number.
Best Practices to Keep Your Remote Work Strategy and Cash Flow Moving Forward

Billing

Best Practices to Keep Your Remote Work Strategy and Cash Flow Moving Forward:
Many of us have had to change the way we work to serve clients at warp speed over the past few weeks. Our ability to do so by pivoting quickly is proof of our inherent resilience.

Everything You Need to Know About Co-Pay Accumulators

Billing

Everything You Need to Know About Co-Pay Accumulators:Since last year, CMS has proposed rules that would limit or eliminate the practice of applying the value of discount coupons for brand-name pharmaceuticals to patients' insurance deductibles.
Surprise Billing

Billing

Surprise Billing:
Today I'm writing about a man, a man named Steve. Steve is married, has health insurance, and works for a local movie theater.

Physician Reimbursement: COVID-19 Demonstrates the Need for Independent Physician Groups to Assert Their Authority Against Payers

Billing

Physician Reimbursement: COVID-19 Demonstrates the Need for Independent Physician Groups to Assert Their Authority Against Payers:
Years before COVID-19, a physician I was speaking with asked me why insurance payers hardly ever cover Telehealth. Telehealth, he argued, could revolutionize our healthcare system in many ways and expand coverage to rural areas, increase clinical outcomes and decrease costs.
5 Ways to Improve Patient Retention Rates in the Digital Age

Billing

5 Ways to Improve Patient Retention Rates in the Digital Age:
As we enter 2020, providers are struggling now more than ever to maintain their patient retention rates. Millennials are transitioning into a stage in life where finding a quality physician is important to them.
Demystifying Price Transparency and Patient Billing

Billing

Demystifying Price Transparency and Patient Billing:Competitive pricing is one of the most important aspects of a capitalist economy.
CMS Develops Additional Code for Coronavirus Lab Tests

Billing

CMS Develops Additional Code for Coronavirus Lab Tests:Today, the Centers for Medicare AND Medicaid Services (CMS) took additional actions to ensure America's patients, healthcare facilities and clinical laboratories are prepared to respond to the 2019-Novel Coronavirus (COVID-19).
Single-Center Study Raises Larger Issues about Proper Billing

Billing

Single-Center Study Raises Larger Issues about Proper Billing:Two CMS codes for advanced care planning - 99497 and 99498 - were used less than 20 times at a tertiary care center in Iowa in a nearly 3-year period.
4 Biggest Patient Billing Challenges

Billing

4 Biggest Patient Billing Challenges:The healthcare industry has no shortage of challenges, and revenue cycle management is no exception.
VA: How UCR Charges are Determined

Billing

VA: How UCR Charges are Determined:How does the VA determine charges billed to third party payers for Veterans with private health insurance
How to Increase Patient Payment Collections in 2020

Billing

How to Increase Patient Payment Collections in 2020:Providers everywhere are relying heavily on patient payments to sum up the majority of revenue in their practices in 2020.
3 Software Features Practices Need In Order To Cut Administrative Costs

Billing

3 Software Features Practices Need In Order To Cut Administrative Costs:Reducing healthcare costs has been a top priority
CDI Integrity

Billing

CDI Integrity:There recently has been much discussion on the merits of changing the name of the CDI profession
Motivating Billing to Achieve Excellence

Billing

Motivating Billing to Achieve Excellence:Excellence in billing performance involves training, management, and motivation. 
Maximizing Revenue and Relationships in the Age of Patient Consumerism  Modern Solutions to Boost Revenue Collection

Billing

Maximizing Revenue and Relationships in the Age of Patient Consumerism Modern Solutions to Boost Revenue Collection:Maintaining financial stability is a challenge for any healthcare provider's office
Picture This: Mobile Payments Remove Billing Inefficiencies

Billing

Picture This: Mobile Payments Remove Billing Inefficiencies:The inefficiencies and costs associated with paper billing
are obvious.
Factitious Disorders

Billing

Factitious Disorders:a word meaning artificially created according to the dictionary
The Pros and Cons of In House vs. Outsourced Billing

Billing

The Pros and Cons of In House vs. Outsourced Billing:These are obviously huge margins for healthcare providers 
Courts Recognize Irreparable Injury Caused by Medicare Appeals Backlog

Billing

Courts Recognize Irreparable Injury Caused by Medicare Appeals Backlog:As providers and suppliers with pending requests for Office of Medicare Hearings and Appeals
3 Ways to Automate Front Office Tasks

Billing

3 Ways to Automate Front Office Tasks:Billing headaches increase
Pricing for ASCs and APCs

Billing

Pricing for ASCs and APCs:To bill for a service in an ASC setting
Todays Patients Unsure and Confused About Medical Bills

Billing

Todays Patients Unsure and Confused About Medical Bills:Pricing and billing transparency matters more than ever within the healthcare industry.
Rhizotomy Procedures

Billing

Rhizotomy Procedures :The CPT coding choices for a rhizotomy procedure reflect the methods chosen to destroy the nerve
 7 Factors for a Successful Medical Billing Company

Billing

7 Factors for a Successful Medical Billing Company:Some medical billing companies find themselves struggling to grow
Bilingual It Means Provider Care Language vs ICD 10 Language

Billing

Bilingual It Means Provider Care Language vs ICD 10 Language:Payers need documentation to support that charges are appropriate
Are incident to services worth the risk

Billing

Are incident to services worth the risk:Incident to billing offers two key benefits
Risky Business The CMS HCC Risk Model

Billing

Risky Business The CMS HCC Risk Model:Instead we are going to spend some time with a risk adjustment model
The New Medicare Cards

Billing

The New Medicare Cards:In an effort to help protect beneficiaries from fraudulent use of their social security numbers
Continuity in Credentialing

Billing

Continuity in Credentialing:Why is it so important to have the same individual be responsible for this important task
CDI  Facilitators in Communication of Patient Care

Billing

CDI Facilitators in Communication of Patient Care:The heritage of clinical documentation improvement
Routine Waiver of Patient Out of Pocket Expenses

Billing

Routine Waiver of Patient Out of Pocket Expenses:Medical billers often encounter the dilemma of a physician who wants to be the hero
My Secrets to Marketing to Doctors  Part I

Billing

My Secrets to Marketing to Doctors Part I:But how do you get past the gatekeeper to present your value proposition to the doctor
Coding for Strains in ICD 10

Billing

Coding for Strains in ICD 10:New England Patriots Linebacker Diagnosed with Pectoralis Major Muscle Tear
EM Code Changes in CPT 2018

Billing

EM Code Changes in CPT 2018:It is that time of year again!
Increase Revenue by Outsourcing Medical Billing

Billing

Increase Revenue by Outsourcing Medical Billing:Many practices are starting to weigh the benefits outsourcing medical billing compared to keeping it in-house.
The Medicare Appeals Adjudication Backlog  New Initiatives May Offer Relief to Appellants

Billing

The Medicare Appeals Adjudication Backlog New Initiatives May Offer Relief to Appellants:As appellants with pending Medicare appeals are acutely aware
 The Truth about ZPICs: Why Oversight is Needed

Billing

The Truth about ZPICs: Why Oversight is Needed:Zone Program Integrity Contractors
 Targeted Probe and Educate TPE

Billing

Targeted Probe and Educate TPE:
Have you ever been caught in the avalanche of paperwork

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