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08/08/2016

Nearly 340,000 providers in the medical practice setting are using certified health information technology (IT) in 2016, and the majority of those providers work with five leading vendors, according to data released by the Office of the National Coordinator for Health Information Technology (ONC).

08/08/2016

Where are patients permitted to bring their guns to public places such as your practice? Find the status of your state on this chart.

08/01/2016

Be prepared for changes in your dealings with managed Medicaid plans. CMS has finalized a new rule that updates the plans’ requirements, which will create new compliance and administrative burdens and potentially impact your revenue.

08/01/2016
Double down on your compliance with the most-frequently cited OSHA standards in health care because the feds are about to double down on fines — and more in some cases.
08/01/2016
If your practice is in a mandatory bundled payment model, such as the Comprehensive Care of Joint Replacement (CJR), a new rule means you may qualify to receive incentives as an advanced alternative payment model (APM).
08/01/2016
Brush up your surgical coding under ICD-10 to accurately report a patient’s initial or subsequent visit and cut out any denials caused by an easily avoidable coding infraction.
08/01/2016
If private payers are making shady recoupments on your claims, consider using an Employee Retirement Income Security Act (ERISA) defense to get federal law on your side.
08/01/2016
Question: We are receiving consistent denials when we report the CPT code for unlisted cardiovascular services (93799) for insertion of a coronary sinus catheter. It is used to introduce medication in heart cases and not for pacing or electrophysiology studies. Can you help?
08/01/2016
Question: I have a provider who is billing CPT 95992 (Canalith repositioning procedure[s] [e.g., Epley maneuver, Semont maneuver], per day) along with an E/M code. Everything that I can find says these two codes are bundled and not separately reimbursed. Could you please shed some light on this?
08/01/2016
The CPT and HCPCS codes that debuted in 2014, the most recent year for which we have Medicare data, saw a lot of action in their freshman year but didn’t get a lot of denials — which was a nice change of pace from new codes in the previous year.

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