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MACs demand repayment on ‘incarcerated’ patients but offer little help to track them

07/29/2013

A number of providers have been hit with demand letters and takebacks — one for more than $100,000 — from Medicare contractors for claims of patients who were allegedly “incarcerated” at the time of their treatment. Some of those patients may not have been incarcerated — but it’s up to providers to find the evidence of that and use it to appeal to the contractors.

Check whether administrative claims measures apply before signing up

07/29/2013

by: Laura Evans

If you are planning to register to have CMS report your Physician Quality Reporting System (PQRS) measures for you under the administrative claims-based option this year, look at the list of measures first, billing experts recommend.

Withstand auditor scrutiny with 7 ways to bolster your E/M documentation

07/29/2013

by: Roy Edroso

Check common problems and use physician education to keep your high-level E/M coding from getting out of hand and attracting the attention of Medicare administrative contractors (MACs).

5 tips for getting vendors’ ICD-10 timelines for software changes

07/29/2013

by: Jennifer Clampet

Medical practices and their vendor partners aren’t talking about ICD-10 — and that could be slowing down your preparations for the Oct. 1, 2014, coding changeover, say experts.

Benchmark of the Week: About 60% of practices well-informed but concerned about vendors’ ICD-10 plans

07/29/2013

Most practices feel at least somewhat well-informed about their vendors’ plans for ICD-10 software implementation, according to a recent Part B News survey of 133 readers.

Part B News briefs

07/29/2013

On SGR in the House and DME at CMS.

Correction

07/29/2013

Re: "Keep track of your claims during MAC transitions to ensure payment," July 1.

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