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CPT Changes for 2012: An OverviewBy Betsy Nicoletti, M.S., CPC
Isn’t getting a new CPT book a little like a birthday present? The excitement of unwrapping it, the suspense about what’s inside. A new CPT book may not be as much fun as a new video game or as intriguing as a jewelry box, but coders eagerly anticipate it. A listing of code changes for the year can be found... Read More Complimentary Webinar - Getting Paid in 2012: What You Need to Know Now to Make it Happen
Thursday, December 15, 2011
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Case Study“I wish I’d had Kareo when I started my practice. It was definitely the right decision.”
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Case Study“I have been a satisfied Kareo client for five years. Selecting Kareo was one of our best business decisions.”
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Billing Tip of the Month
Using Kareo to Prepare Accounts for Collections
Tammy Chidester, CPC, CPMA, CEMC, PCS, Mera Consulting
Kareo helps me manage my accounts that I am preparing for collections. These are the steps I use: Under Settings > Other Lists > New/Find Collection Category, add the verbiage that you want to print on the statement... Read More
Top News and Ideas from Industry
Super Committee Gone, 27% Medicare Pay Cut Threat Remains
Charles Fiegl, Amednews, Dec. 5, 2011
The failure of the congressional debt panel leaves the 2012 SGR cut unresolved and threatens physicians with additional pay reductions starting in 2013. Lawmakers again find themselves with less than a month to pass legislation to stop a steep decrease in Medicare payments… Read More
New CMS Demonstration Projects Crack Down on Improper Payments, Conduct Prepayment Reviews
AAPC News, Dec. 2, 2011
Beginning Jan. 1, 2012, the Centers for Medicare & Medicaid Services (CMS) will begin three demonstration projects aimed at eliminating Medicare fraud, waste, and abuse. The first of these, the Recovery Audit Prepayment Review, will allow Medicare recovery audit contractors (RACs) to review claims that historically result in high rates of improper payments before they are paid… Read More
Practices Get More Time to Switch to HIPAA 5010
Emily Berry, Amednews, Dec. 12, 2011
Physicians and health plans have a kind of grace period for the first three months of 2012 before they must comply with new HIPAA Version 5010 claims transaction standards. The deadline for the electronic claims format remains unchanged, but the threat of losing Medicare payments for noncompliance is delayed… Read More
New CMS Program to Assist Physician ID Theft Victims
Charles Fiegl, Amednews, Dec. 5, 2011
The remediation initiative will offer a doctor relief if personal and professional information are used to defraud Medicare or Medicaid. The Centers for Medicare & Medicaid Services has created the provider victim validation/remediation… Read More
3% Tax Withholding on Medicare Pay Repealed
David Glendinning, Amednews, Nov. 28, 2011
The IRS regulation was designed to target delinquent government contractors but would have affected some Medicare physician payments… Read More
Dec. 21 Nat’l Provider Call to Discuss Payment, Risk
AAPC News, Dec. 6, 2011
The Centers for Medicare & Medicaid Services (CMS) will hold a National Provider Call to discuss changes to the Medicare Physician Fee Schedule’s (MPFS) Physician Feedback Program and the value-based payment modifier (Value Modifier) for calendar year 2012… Read More
Make Sure the Way You Use an EMR Doesn't Unwittingly Look Like Fraud
Pamela Lewis Dolan, Amednews, Nov. 21, 2011
Physicians might not realize it, but how they and their staffs use an electronic medical record system could open themselves up to accusations of fraud or misrepresentation… Read More
Anticipated CMS/ONC Regulations for 2012
HIMSS News, Dec. 9, 2011
Several Notices of Proposed Rulemaking (NPRMs) are anticipated to come from CMS and ONC this winter. This chart outlines the regulations that are currently anticipated, the agency from which they will be administered, and the date for which public comments are due to the government. Also included is the anticipated timeframe for release of final rules… Read More
Medicare Now Covers Heart Disease, Obesity Screening, Expands Telehealth Services
Charles Fiegl, Amednews, Nov. 23, 2011
The Medicare program has expanded its coverage policy manual to include annual visits that screen for hypertension and prevent cardiovascular disease, covering office visits with primary care physicians to discuss how to prevent heart disease… Read More
AAPC News, Dec. 2, 2011
Medicare is adding coverage for preventive services to reduce obesity. Screening for obesity and counseling for eligible patients by primary care providers in settings such as physicians’ offices are covered under this new benefit… Read More
AAPC News, Dec. 2, 2011
Physicians and their patients are embracing web-based health solutions at a rapid rate, according to CNBC.com. In keeping with the times, Medicare will cover smoking cessation services in 2012, including those furnished remotely… Read More
CMS Issues Final Rule on Use of Medicare Claims to Assess Providers' Performance
Jaimie Oh, Becker’s ASC Review, Dec. 6, 2011
The Centers for Medicare and Medicaid Services has issued a final rule that allows for the release and use of standardized extracts of Medicare claims data for qualified entities to measure the performance of providers of services and suppliers. .. Read More
Efficient Claims Handling: A Gift That Keeps On Giving
Amednews Editorial, Nov. 14, 2011
The American Medical Association wants more physicians to give themselves the gift of an improved, streamlined insurance claims process. Physician practices can take advantage of electronic claims processing to lower costs, save time and minimize headaches… Read More
Revenues Down? Examine Your Contract Prices
Rob Saunders, ScrubsandSuits.com, Dec. 8, 2011
Over the years, I mostly dismissed the claims of falling reimbursement because they did not accurately depict market conditions. Instead, we have seen minor fluctuations in reimbursement rates, which often averaged out to equal reimbursement stagnation. Now, however, things have changed. And it’s time for everyone to pay attention. Here’s a list of 12 points to pay attention to… Read More
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