Author

Elizabeth
Elizabeth works on an array of projects at TCI, researching and writing about modern reimbursement challenges. Since joining TCI in 2017, she has also covered the nuts and bolts of cybersecurity, compliance with federal laws, and how to tap into the advantages of telehealth services.

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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
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    As is the case with patient’s history, payers and auditors use a similar logic for establishing medical necessity when scanning the PE records for over-documentation. Reviewers may identify elements of the PE that are not consistent with the CC and may determine that services were   Read more..
    Posted on 26 Apr, 2018
    By Elizabeth
    Pull the Plug on Medical Necessity Ambiguity
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    The EMR is a dynamic document database, evolving every time a user accesses it. With today’s standard features and add-on conveniences, EMRs have the potential to save time, increase productivity, enhance efficiency, and play an important part in patient engagement. However, it is imperative that   Read more..
    Posted on 24 Apr, 2018
    By Elizabeth
    Get Up to Speed on Clinical Documentation Improvement for EMRs
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    Providers should not let the EMR code for them. If it does, the providers need to override the system and only use it as a guide. The EMR is not equipped to understand nuances of medical-decision making that only a provider could determine. Say yes   Read more..
    Posted on 19 Apr, 2018
    By Elizabeth
    10 Tips for Keeping Compliance Issues at Bay
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    Audit Hotspot #1: Copy and Paste Although templates are intended to save time, providers must ensure that the built-in forms are age and gender appropriate. The following example demonstrates how template-assisted documentation might backfire when applied to a pediatric case. Example: A nine-year-old is seen for   Read more..
    Posted on 17 Apr, 2018
    By Elizabeth
    3 EMR Errors Your Practice Needs to Guard Against
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    A happy patient—one well pleased with the patient experience—is a practice builder. How’s your patient roster holding up? Are you obtaining new patients? Are your existing patients satisfied? Improving patient satisfaction starts with the provider. While it certainly doesn’t end with the provider, as each member   Read more..
    Posted on 13 Apr, 2018
    By Elizabeth
    The Patient Experience—It’s Your Bottom Line, Part II
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    Know the Facts. According to the 2015 National Survey on Drug Use and Health (NSDUH): 4 percent of people 18 or older in the U.S. reported that they drank alcohol at some point in their lifetime. 9 percent of people ages 18 or older reported   Read more..
    Posted on 9 Apr, 2018
    By Elizabeth
    April is Alcohol Awareness Month
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    Money can’t buy happiness, but happiness can—and does—make money. Patient satisfaction pays. In the wake of healthcare reform and its focus on patient-centered care, today’s patients are choosing happiness. Elevated to the role of consumer, they’re now in the driver’s seat. Patients are looking at   Read more..
    Posted on 5 Apr, 2018
    By Elizabeth
    The Patient Experience—It’s Your Bottom Line, Part I
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    Within a matter of months, 150 million Medicare health insurance claim numbers will be changed to new Medicare beneficiary identifier (MBI) numbers. Out With the Old Historically, the Medicare beneficiary’s identification Health Insurance Claim Number (HICN) has been used for processing claims and determining eligibility for services   Read more..
    Posted on 3 Apr, 2018
    By Elizabeth
    10 Things You Need to Do to Gear Up for New Medicare Numbers