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09/03/2009

Brush up on billing and coding guidelines with your staff as you're certain to face more complex Recovery Audit Contractor (RAC) targets in the future. RACs have proposed 73 new issues they'll target to recoup money for billing mistakes and physicians failing to follow service guidelines.

09/03/2009

When you find large overpayments before they're discovered by government auditors, volunteering a settlement offer to your carrier could save you thousands of dollars while slashing your compliance risk. A well-worded letter explaining why you want to settle with the carrier for part of what you owe is key, experts say (see story for guidance).

09/03/2009

Follow these six tips to prepare your practice and staff for the H1N1 influenza virus - the swine flu - this flu season.

09/03/2009

With cold weather and the flu season fast approaching, take comfort in the knowledge that Medicare will pay you for administering the H1N1 or swine flu vaccine to patients. You will get vaccine doses for free, Part B News has learned.

09/03/2009

Your prospects for a bipartisan health reform bill have worsened as the August Congressional recess ends, but no matter what happens, it's becoming clear that you can expect three things to happen, experts say.

09/03/2009

This chart shows the median ratios of physician compensation to practice collections by specialty, based on 2008 survey data by the Medical Group Management Association (MGMA).

09/03/2009

A detailed list of the seven key health reform provisions affecting physicians and where they are in the legislative process.

09/03/2009

Your RAC is currently allowed to look back only three years and carriers by law may look back four years. But when the mistakes they uncover lead to fraud suspicions, other CMS contractors gain the right to look back much further into your claims filing history, Part B News has learned.

09/03/2009

This week's question is answered by John Burns CPC, senior consultant for DecisionHealth Professional Services.

Q. Can we bill for diabetic self-management training (DSMT) while we're in the process of being accredited?

09/03/2009

CMS will have final authority over whether your carrier can accept your settlement offer, but here are several effective arguments you can make to boost your chances, according to attorneys familiar with the process.

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