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Latest from Kareo
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Managing Underpayments in Medical Billing: Getting Every Penny You DeserveBy Elizabeth W. Woodcock, MBA, FACMPE, CPC
With today’s complex coding and reimbursement systems, it came as no surprise to discover that payment accuracy rates among insurance companies dip as low as 62.08%. That finding comes from the AMA’s National Health Insurer Report Card, and the results are, arguably, alarming... Read More Complimentary Webinar: Getting Paid Accurately - What the National Health Insurer Report Card Means to Your Practice and How You Get Paid
Thursday, April 19, 2012
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Case Study“Kareo got us out of claims purgatory and helped save us thousands of dollars!”
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Case Study“Kareo is a huge timesaver and has allowed me to offer a much better service to my clients.”
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Billing Tip of the Month
ERA Tracking for the Payment Method Code of "Check"
Scott Benjamin, ECCOHealth
We receive ERAs from the carrier with the payment method code "Check" and need to track this type of ERA to confirm the check has been sent to the provider's correct address and to be sure the check was cashed by the provider... Read More
Top News and Ideas from Industry
CMS Backlog Shortchanges Doctors on E-Prescribing Exemptions
Charles Fiegl, Amednews, April 9, 2012
Some physicians are reporting that the Medicare payments they’ve received for their services in 2012 are being reduced for a failure to prescribe enough electronically in 2011, even though the doctors filed waiver requests seeking special hardship exemptions… Read More
Americans Cutting Back on Drugs and Doctor Visits
Katie Thomas, New York Times, April 4, 2012
Patients cut back on prescription drugs and doctor visits last year, a sign that many Americans are still struggling to pay for health care, according to a study released Wednesday by a health industry research group… Read More
Employers Signal Near-Term Cuts to Employees’ Health Benefits
Emily Berry, Amednews, April 2, 2012
Facing the last few years before major health reform elements kick in, most employers say they are paring back benefits and pushing more costs to employees. Continued pressure on benefits could hurt physician practices if patient volumes continue to slow, as they have since 2007… Read More
PQRS Measure 235 Causes Rejections
AAPC News, March 29, 2012
An error related to the submission of measure 235 “Hypertension: Plan of Care” for the 2012 Physician Quality Reporting System (PQRS) is causing Medicare Part B claims containing the codes associated with the claims/registry measure to be rejected or denied… Read More
Can a Specialty Practice Be a Patient-Centered Medical Home?
Victoria Stagg Elliott, Amednews, April 9, 2012
Should cardiologists, oncologists, endocrinologists and other specialists providing care for long-term chronic conditions have patient-centered medical homes? Those working on the patient-centered medical home concept say specialty practices need to consider several issues before moving forward… Read More
CMS: Medicare Reimbursement Rates Won’t Be Cut in 2012
AAPC News, March 29, 2012
The Centers for Medicare & Medicaid Services (CMS) Transmittal 1058, Change Request (CR) 7767 confirms a zero percent update for payments under the Medicare Physician Fee Schedule (MPFS) through year’s end. Also included in the MCTRJCA are extensions to… Read More
MedPAC: Toss SGR and Replace with Freeze
AAPC News, March 29, 2012
The Medicare Payment Advisory Commission’s (MedPAC’s) report to Congress regarding Medicare’s fee-for-service payment system is clear: Replace the sustainable growth rate (SGR) with specified updates not including an expenditure-control formula… Read More
Clinical Documentation Improvement: Why It's Needed Before ICD-10 Implementation
Carl Natale, IDC-10 Watch, March 28, 2012
One of the reasons why ICD-10 implementation will be a major change for hospitals and medical practices is documentation. Clinicians will need to improve documentation so diagnoses and procedures can be coded to the highest level of specificity… Read More
5 Steps Toward HIPAA Security
AAPC News, March 28th, 2012
Ensuring security of electronic personal health information (PHI) is tough. A more stringent HIPAA Security Rule and news of PHI breaches raises anxiety in billing offices. In a recent interview in Healthcare IT News, Mahmood Sher-Jan, vice president at ID Experts, shares these tips… Read More
Don’t Let Missed Appointments Reduce Your Bottom Line
Deli Parham, CPC, AAPC News, March 28, 2012
Missed appointments—no-shows and last minute cancellations—plague every practice. Some practices charge to recoup revenue for missed appointments while using the threat to motivate patients to keep appointments. Others don’t. Here are some tips... Read More
7 Steps to Improve Productivity and Efficiency: How to Master the Art of Office Triage
George G. Ellis Jr., MD, FACP, Medical Economics, March 10, 2012
In my practice, we have instituted a seven-step process that has improved my productivity by approximately 25%. The use of an electronic health record (EHR) system has been an invaluable asset in my ability to improve productivity and profitability... Read More
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