Author

Elizabeth

  • [addtoany]
    Telemedicine now allows providers to virtually interact with patients in a way that improves the quality and delivery of care, especially for those patients who are unable to come to the office. The convenience and instant feedback patients receive are among the driving factors behind   Read more..
    Posted on 8 Jun, 2018
    By Elizabeth
    Learn the Criteria Necessary for Medicare’s Telemedicine Services—Part II
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    Medicare pays telehealth services under the Medicare fee-for-service program, with a larger payment made to the consulting physician or practitioner (at the distant site) than the payment made to the facility at the site where the patient is located. According to a MedPAC report, from 2014-2016   Read more..
    Posted on 5 Jun, 2018
    By Elizabeth
    Ace Medicare Telehealth Reimbursement Basics—Part I
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    Do you know? Many federal, state, and private payers report incorrect modifier use as one of the top billing errors — one that results in denials, reductions in payment, or delays in reimbursement. These claims are missing a modifier or they have an incomplete or   Read more..
    Posted on 28 May, 2018
    By Elizabeth
    How to Nail Down These CPT® Modifiers Every Time
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    Separate Evaluation and Management (E/M) Services from the Rest When a provider performs an E/M service and other services including a procedure for the same patient, on the same day, you can code and bill for the procedure and the E/M service separately. You   Read more..
    Posted on 24 May, 2018
    By Elizabeth
    Learn Your Way Around 5 Common Modifiers
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    CMS Administrator Seema Verma recently announced a new initiative designed to improve EHR patient data access called MyHealthEData. Designed to improve EHR patient data access, MyHealthEData is a government-wide initiative led by the White House Office of American Innovation in conjunction with the Department of Health   Read more..
    Posted on 22 May, 2018
    By Elizabeth
    Improving EHR Patient Data Access
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    Like all CPT® codes, E/M codes are universal and used by Medicare, Medicaid, and most other payers for processing claims for a physician’s professional services. You should also use E/M service codes for billing facility services on an outpatient basis. Because evaluation and management services are   Read more..
    Posted on 17 May, 2018
    By Elizabeth
    How to Nail Down Levels of E/M Services & Secure Optimal Reimbursement
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    Your reimbursement relies entirely on accurate reporting. Someone in your office must understand the code sets, coding guidelines, and the nuances of coding. Additionally, this person must possess the ability to communicate with physicians and other clinicians about how to document a service appropriately to   Read more..
    Posted on 15 May, 2018
    By Elizabeth
    How to Choose the Right Medical Coder for the Job
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    Audit tools are essential to successfully completing an audit. Whether you utilize electronic tools or paper worksheets, you will need access to good auditing tools. Electronic audit tools are helpful because they not only assist with the process, but also aid in reporting. The pros   Read more..
    Posted on 11 May, 2018
    By Elizabeth
    7 Tools to Keep on Hand for Successful Self-Audits
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    New Medicare Card: Video for Your Waiting Room In April 2018, CMS will begin mailing new Medicare cards with new numbers—and they’re helping you inform your Medicare patients with the New Medicare Cards are coming! video. Play this one video, available from YouTube, in your waiting room. As   Read more..
    Posted on 9 May, 2018
    By Elizabeth
    5 Must-Have Tools & Services from CMS
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    New in 2018: QPP Year 2 Eligibility In QPP Year 2, eligible clinicians remain the same, and there is no change in Basic Exemption Criteria, but CMS reduces the number of providers and groups subject to the QPP by increasing the low-volume threshold. The CY 2018   Read more..
    Posted on 3 May, 2018
    By Elizabeth
    MACRA 2018: Learn What’s New in Year 2