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Billing Tip of the MonthEducate Staff and Patients on Patient CollectionsJeff Jarvis, aMAYZing KidsThe most important part of billing is education: staff AND patients (in our case, parents, since we’re a pediatric therapy group.) When I verify eligibility and benefits online... Read More Top News and Ideas from IndustryMedicare Contractors Rejecting Pay for Some Legitimate ServicesBy Charles Fiegl, Amednews, March 1, 2012A government watchdog's audit of improper payment determinations for Medicare services showed that contractors had denied payments for some valid services in 2010. Government auditors say estimates of improper payments would be lower if the contractors obtained documentation needed to approve physician services… Read More First Look at the Next Stage of Meaningful UseBy Charles Fiegl, Amednews, March 5, 2012Earning bonuses and avoiding payment cuts during stage 2 of the multibillion-dollar federal electronic medical record incentive program would require using technology that meets tougher quality objectives and that helps coordinate patient care, according to a proposed rule released on Feb. 23... Read More The 2012 Payroll Tax-SGR Bill: What It Means for PhysiciansBy Bob Herman and Rachel Fields, Becker’s ASC Review, Feb. 28, 2012The House and Senate have passed a new payroll tax cut bill that also stopped the Medicare payment cut to physicians, and it will now head to President Barack Obama's desk, where it is expected to be signed. But what does the bill mean for physicians and the healthcare industry as a whole? Read More Be Ready for 5010 EnforcementAAPC News, Feb. 22, 2012Version 5010 enforcement begins April 1, having been postponed from Jan. 1 to allow providers, payers, and vendors to catch up. Here are some tips to help you be ready when the time comes… Read More Avoid Payment Reduction for eRxAAPC News, Feb. 22, 2012Many providers’ offices suffer the 1 percent reduction in Medicare fees even after having a remittance with the N365 code for successfully submitting a G8533 code for electronic prescribing (eRX). Here are some common errors made with the submission of the G8533… Read More MGMA Wants to Add Some Steps to the ICD-10 TimelineICD-10 Watch, Mar 01, 2012The Medical Group Management Association (MGMA) wants the Department of Health and Human Services (HHS) to do more than delay ICD-10 implementation. In a March 1 letter to HHS secretary Kathleen Sebelius, MGMA president and CEO Susan Turney outlines some steps that should be added to the ICD-10 timeline that would inject some due diligence to the process... Read More Paid by EFT? Choose One RecipientAAPC News, Feb. 22, 2012You may be contacted by your Medicare Administrative Contractor (MAC) soon about where you want electronic payments sent. Starting April 1, only one receiver will see electronic payment for a claim, no matter how many national provider IDs (NPIs) are on file… Read More CMS Starts Immediate Recoupment for OverpaymentsAAPC News, Feb. 10, 2012The Centers for Medicare & Medicaid Services (CMS) is implementing an immediate recoupment process for demanded overpayments. As it stands, Medicare contractors begin recoupment of an overpayment on day 41 from the date of the initial demand letter. Effective July 1, 2012, however… Read More Survey Respondents Say Delay Would Make ICD-10 Implementation More ExpensiveICD-10 Watch, Feb. 27, 2012It's tempting to think that delaying the ICD-10 implementation deadline can't be all bad. What's wrong with giving healthcare providers some more time to implement a costly and complicated change? Some healthcare professionals say it's going to significantly increase the cost of ICD-10 transition projects... Read More Value-based Physician Reimbursement Gains MomentumBy Emily Berry, Amednews, Feb. 29, 2012UnitedHealth Group is joining the growing pack of insurers beginning to compensate physicians for value in addition to volume of services. The nation's largest health plan wants to have at least 50% of its network under "value-based contracting" by 2015… Read More Get Your Health Professional Shortage Area BonusAAPC News, Feb. 10, 2012If you are a physician who furnishes services to Medicare patients in a primary care geographic health professional shortage area (HPSA) as designated by the Health Resources and Services Administration (HRSA), you are eligible for a 10 percent bonus payment for services provided between Jan. 1, 2012 and Dec. 31, 2012… Read More 10 Steps to More Profitable Managed Care ContractsBy Rachel Fields, Becker’s ASC Review, March 1, 2012Managed care contracting is essential to practice profitability, particularly as out-of-network billing becomes less feasible in many markets. This article discusses 10 ways surgery centers can achieve substantial increases year-over-year without hurting relationships with their payors... Read More
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