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Latest from Kareo
The Ten Biggest Mistakes Medical Billing Offices Make - And How to Avoid ThemBy Elizabeth W. Woodcock, MBA, FACMPE, CPC
Medical Billing: How to Get Paid Better - Part IIBy Judy CapkoHow well the medical billing and collection pieces work in your practice is a reflection on your practice's use of its resources. Getting this right the first time reduces the amount of effort it takes to get you paid timely and properly. Where does the revenue chain begin? Some people think it begins when the patient's charges are entered into the computer system, but in reality the revenue chain starts when the patient first calls your office and ends when the account is paid in full. Let's take a look at the primary steps and resources needed to get paid better... Read More Give Your Medical Billing Claims a Chance: Ensure Patient EligibilityBy Thom Schildmeyer, MBADid you know that many claims are denied before the patient ever steps foot in the office? Don’t let that happen to you. This article examines one of the highest denial reasons - patient eligibility - and why this is becoming more common in medical practices around the country. Also, most practices don’t recognize the damage these denials cause and, worse, that they are easily preventable. But prevention must start before the patient ever visits the office and receives services... Read More
Billing Tip of the MonthUse Kareo's Alert Button to Notify Staff About the Need for Additional ModifiersBy Carla Rodriguez, Hope Rehab, Houston, TXThe best billing tip (which in my case does involve Kareo) is the use of the alert button when entering the patient information. I used it to inform the person posting the charges that an additional modifier was necessary for that particular visit... Read More Top News and Ideas from Industry
Congress Passes Bills Keeping Physicians from Medicare Pay Cut, "Red Flags" ruleChris Silva, Amednews, Dec. 13, 2010Congress has voted to block a Medicare physician pay cut through 2011. In another closely watched physician issue, lawmakers exempted doctors from the so-called red flags rule on security of financial data... Read More California Hospitals, Physicians May Recoup Millions in Insurer PaymentsEmily Berry, Amednews, Dec. 13, 2010The agency that regulates HMOs in California has ordered seven of the largest health plans to pay nearly $5 million in fines, and to compensate doctors and hospitals for millions more in late or incorrect payments. The health plans also will have to pay back hospitals and physicians, plus interest, for claims... Read More Doctors Voice Frustration with Insurer Preauthorization RequirementsEmily Berry, Amednews, Dec. 13, 2010Preauthorization requirements not only are a source of frustration for physicians, but they also create delays that interfere with patient care, according to thousands of physicians surveyed by the American Medical Association. The AMA conducted an online survey of 2,400 physicians... Read More CMS Proposes Rule on Expanding RAC Program to MedicaidChris Silva, Amednews, Dec. 13, 2010The Centers for Medicare & Medicaid Services issued a proposed rule last month that outlines its plan for expanding the recovery audit contractor program to Medicaid, a change required under the health system reform law. RACs are third-party auditors CMS hires to comb through Medicare claims from hospitals, physicians and others to identify improper payments... Read More Study Shows EHR Costs, Benefits Per PhysicianHDM Breaking News, December 14, 2010Costs for adopting an electronic health records system in an ambulatory practice could hit $120,000 per physician, with 84 percent of that cost ($101,250) being lost revenue from fewer patient encounters during the transition, according to a recent study. However, EHRs once fully adopted could increase the number of patients seen by each physician by up to 15 percent, bringing in $151,000 in additional revenue per physician per year, the study projects... Read More Coding Changes to Note for 2011
Revised Coding for Flu Vaccinations May Complicate Immunization ProcessVictoria Stagg Elliott, Amednews, Dec. 10, 2010As of Jan. 1, 2011, medical practices need to use the Healthcare Common Procedure Coding System's "Q" codes for the vaccines provided to Medicare beneficiaries instead of the Current Procedural Terminology code of 90658... Read More Clinical Lab Fee Schedule Update ReleasedAAPC News, December 10th, 2010The 2011 Clinical Lab Fee Schedule annual update has been released. The update, effective Jan. 1, 2011, includes 16 new codes and 1,188 modified codes. The annual update to the local clinical laboratory fees for 2011 is -1.75 percent. The annual update to payments made on a reasonable charge basis for all other laboratory services for 2011 is 1.1 percent... Read More Report Annual Wellness Visits with New G CodesAAPC News, December 10th, 2010Complementary annual wellness visits (AWVs) including personalized prevention plan services (PPPS) are just one of the new perks Medicare patients will be entitled to beginning Jan. 1, 2011, courtesy of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act). The Centers for Medicare & Medicaid Services (CMS) recently issued billing instructions for how these services should be reported to Medicare for reimbursement... Read More SCODI Code Retired, Three Codes Eye Its SpotAAPC News, December 10th, 2010As you scan through your new CPT 2011 codebook, you may notice that 92135 isn't in its old, familiar spot. In fact, the scanning computerized ophthalmic diagnostic imaging (SCODI) code has been removed from the 2011 lineup entirely. In its place you will find three new codes to report for imaging services that allow for greater specificity... Read More |
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