Post

2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters

2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters SCCM Critical Connections – February 2019  by  Deb­o­rah Grider Central venous access procedures, commonly performed in critical care, have undergone a change in CPT 2019. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.

Post

Understand CMS Advanced Billing Practitioner Professional Billing

Understand CMS Advanced Billing Practitioner Professional Billing ICD-10 Monitor – January 2019  by Deb­o­rah Grider Not billing the APP service can result in serious revenue cycle errors. Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as...

Post

Medical Necessity Monopoly: How to Avoid “Chance” and Advanced to “Go”

Medical Necessity Monopoly: How to Avoid “Chance” and Advanced to “Go” ICD-10 Monitor – November 2018 by Karen Zupko and Michael Marks, MD, MBA A three-step medical necessity action plan can help ensure payment Consider the following: A patient presents to your office complaining of symptoms that indicate a possible herniated disk. A history notes symptoms...

Post

Major Challenges Face Coders in 2019 and Beyond

Major Challenges Face Coders in 2019 and Beyond ICD-10 Monitor – December 10, 2018 by Deb­o­rah Grider CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP ddress documentation and coding issues up front, rather than correct them later. Coders have had many challenges throughout the years.  When I started in the industry, we did not submit...

Post

Highlights of the Medicare Physician Fee Schedule Final Rule

Highlights of the Medicare Physician Fee Schedule Final Rule RAC Monitor – November 14, 2018 by Deb­o­rah Grider CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP Highlights of the 2019 Medicare Physician Fee Schedule, released on Nov. 1, are provided by the author. There will be no change in E&M payment levels for 2019, as...

Post

The Value of Claims ‘Signal’ Data in Orthopaedic Surgery

The Value of Claims ‘Signal’ Data in Orthopaedic Surgery AAOSNow – January 2019  by Michael Marks, MD, MBA In last month’s article, “Scientific Analysis for Medical Liability Claims,” Coverys’ Robert Hanscom, vice president of business analytics, and Lisa Simm, manager of risk management, presented the methodology the insurer utilizes to analyze medical professional liability (MPL) claims....

Post

Is ‘Insurance Only’ Billing Advisable?

Is ‘Insurance Only’ Billing Advisable? AAOSNow – January 2019  by Cheyenne Brinson and Patricia Hofstra Surgeons instructing billing staff to bill “insurance only” is a scenario that is all too common in orthopaedic practices. In effect, the practice is waiving the patient’s copay, coinsurance, and deductible amounts and accepting whatever amount the insurance company will pay....

Post

Medicare’s New Documentation Rules Impact Practices

Medicare’s New Documentation Rules Impact Practices AAOSNow – April 2019  by Margaret M. Maley Surgeons instructing billing staff to bill “insurance only” is a scenario that is all too common in orthopaedic practices. In effect, the practice is waiving the patient’s copay, coinsurance, and deductible amounts and accepting whatever amount the insurance company will pay. In...

Post

Consider These Questions About Mergers Before You Jump

Consider These Questions About Mergers Before You Jump Orthopaedics Today – January 2019  by Wathen Strong The shift toward hospital or health system ownership of physician group practice has been on a steady pace of growth for several decades. From July 2012 to July 2016, the number of physician practices employed by hospitals increased an astounding...

Post

Six Fundamental Revenue Cycle Management Metrics

Six Fundamental Revenue Cycle Management Metrics Physicians Practice – December 2018  by Cheyenne Brinson Monitoring standard revenue cycle management metrics is a smart way to focus on the financial indicators that matter most. Consistent review is essential to identifying collection slow downs, productivity fall offs, and potential risk issues before they become acute. Here are six...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches