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Billing Tip of the MonthHow to Get Updated Patient Addresses Easily in KareoMyriam Nieves, Texas Institute of Dermatology, Laser and CosmeticsSometimes patients forget to update their address with your doctor's office, so when you send them a bill, it comes back as "Return to Sender." I've found that patients usually are interested in updating their address with their insurance company because they want... Read More Top News and Ideas from IndustryNearly All Physicians Must Revalidate Medicare Enrollment by 2013Charles Fiegl, Amednews, Aug. 29, 2011Roughly 750,000 physicians in the Medicare program soon will be asked to revalidate their individual enrollment records during a massive anti-fraud effort required by the health system reform law… Read More Employers Say They Will Shift More Health Costs to WorkersEmily Berry, Amednews, Sept. 5, 2011Many executives at large companies said they will continue to push more health insurance costs onto their employees in 2012 -- and that could mean even more patients delaying visits to their physicians… Read More AMGA: Physician Practices Falter on Thinning MarginsJohn Commins, HealthLeaders Media, Aug. 17, 2011Physician groups across the country operated at a significant loss in 2010, thanks largely to dwindling Medicare reimbursements, according to the American Medical Group Association's 2011 Medical Group Compensation and Financial Survey… Read More CBO Report Links Debt Reduction to Medicare Pay CutsDoug Trapp, Amednews, Sept. 1, 2011The nation's debt as a share of the economy could be reduced several percentage points by 2021, but only if Congress allows a number of current-law policies to take effect, including a 29.5% Medicare physician pay cut in 2012, according to a Congressional Budget Office report… Read More Medicare Unveils Bundled Payment Models to Start in 2012Charles Fiegl, Amednews, Sept. 5, 2011Payment bundling for physicians and hospitals is the latest Medicare initiative that aims to improve quality and coordination of care. Physicians and hospitals will be collaborating to bid on providing high-quality, low-cost inpatient and postdischarge care to Medicare patients… Read More Feds Nab 91 Suspects in Medicare Billing Schemes Totaling $295MJohn Commins, HealthLeaders Media, Sept. 8, 2011Federal authorities on Wednesday detailed an eight-city sweep by the Medicare Fraud Strike Force that netted 91 suspects for various fraud schemes involving false billing. The value of the sweep represented the single highest amount of false Medicare billings in the four-year history of the Strike Force… Read More $1 Billion Spent to Fight Medicare Fraud in 2010Charles Fiegl, Amednews, Sept. 8, 2011The Medicare program spent $1 billion fighting fraud and ensuring the accuracy of payments for health care services in 2010, according to a new government study. The program is praised for its efforts but still lost $48 billion to fraud last year. Physicians worry that legitimate billers could be targeted… Read More MPFS Update: Dozens of Payment Indicator ChangesAAPC News, Aug. 31, 2011Effective Oct. 3, Medicare contractors will implement an updated Medicare Physician Fee Schedule Database (MPFSDB), according to the Centers for Medicare & Medicaid Services (CMS). Just under 50 codes will receive payment indicator changes in various categories… Read More CAC & ICD-10: How to Evaluate What CAC Can Do for Healthcare ProvidersCarl Natale, ICD-10 Watch, Sep. 7, 2011There is a real concern that ICD-10 will create strong productivity losses and increases in claim denial. I say claim denial is a real concern not because of a conscious effort by payers to reduce reimbursements. But it is very likely that some diagnoses and procedures won't be coded accurately after Oct. 1, 2013. That's going to affect productivity and revenue… Read More
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