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02/22/2016

More than four months into ICD-10-CM use, coders report that that their biggest headaches are being caused by insurance company payment policies that are at best inconsistent and at worst just plain incorrect in their ICD-10-CM code reporting requirements.

02/22/2016

Verify your patients’ insurance coverage to avoid getting sanctioned over balance-billing rules that restrict you from obtaining Part B copayments, deductibles and coinsurance from patients in the qualified Medicare beneficiary (QMB) program.

02/22/2016

Providers may have a shorter look-back period under the new 60-day overpayment final rule than originally proposed, but the rule sets rigorous standards for determining what an overpayment is — including “overcoded” E/M claims.

02/22/2016

CMS is offering providers a hardship exception to two meaningful use measures based on the broadband rates in their counties — and it’s worth a few minutes’ work to make sure you qualify.

02/22/2016

Some providers who are juggling 50 to 100 different measures across various payers have something to look forward to: a total of 21 uniform measures that they’d report to all payers.

02/22/2016

Keep track of which vaccine codes you use because some previously frequently billed codes were deleted for 2016.

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