If coding your colorectal cancer screening claims has you confused, our experts can help.
With an increasing number of colorectal lab tests that physicians use to assess a patient for colorectal cancer (CRC), we’ve received an influx of questions from path/lab coders like you. That’s why
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Profit from expert answers to these neurosurgery coding conundrums.
Neurosurgery coding may not be as challenging as, well, brain surgery — but it’s up there! Why suffer confusion and risk your bottom line when Meagan Williford, BA, MA, CPC-A, our resident neurosurgery coding expert, can help
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If you’ve been following the Centers for Medicare and Medicaid Services (CMS) proposals for revamping the evaluation and management (E/M) guidelines, you’ll know that part of the goal for these efforts is to simplify the regulations, especially the documentation, for these services.
Those attempts continue with
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Get answers to key cardiology reporting questions from cardiology coders like you — and secure full reimbursement for your services.
Uncertain reporting is a wager that could result in substantial reimbursement loss for your cardiology practice. Nonetheless, it happens — a chart comes across your desk
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Don’t let top claim errors for your specialty sink your bottom line this year.
With so many coding rules and compliance regulations to follow, it’s easy to lose sight of correct coding and billing from time to time. That appears to have been the case in
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The Office of Inspector General (OIG) was formed in 1976 by President Gerald Ford through the Inspector General Act. Since then, the OIG has been key in fighting waste, abuse, and fraud in Medicare, Medicaid, and other Health and Human Services programs and is the
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Medicare determined that a practice had been billing X-rays globally for years, when it should have only billed X-rays with a modifier 26 for the professional interpretation of the service, as the practice didn’t own the X-ray equipment. The fallout of this oversight included an
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If you decide to participate in Merit-based Incentive Payment System (MIPS), you will earn a performance-based payment adjustment to your Medicare payment.
You earn the payment adjustment based on evidence-based and practice-specific quality data. You show you provided high quality, efficient care supported by technology by
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Whether you’re provider, medical coder, practice, practice manager, or auditor, you need to be knowledgeable of federal regulations that relate to fraud, abuse, and compliance.
Stay in the know: The five most important Federal fraud and abuse laws that apply to physicians are the False Claims
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The Office of Inspector General (OIG) plays an important role in negotiating, developing, and enforcing corporate integrity agreements (CIAs). As a condition of settlement in a variety of civil and false claim cases, OIG will require an organization to incorporate a CIA in exchange for
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