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New law mandates doctors tell Medicare patients about ‘observational’ status
April 24, 2018 by Allzone MS 12

Seniors often found out only when they got surprise bills for the services Medicare doesn’t cover for observation patients. Under a new federal law, hospitals across the country must now alert Medicare patients when they are getting...

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Humana adds 7 new states to bundled payment portfolio
April 24, 2018 by Allzone MS 5

The Louisville-based Humana is expanding a value-based payment model into seven additional states, while the Medicare agency has yet to set a clear course for how to handle such models. Humana announced last week it would start offering its...

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Look Ahead at ICD-10-CM Coding in 2018
April 12, 2018 by Allzone MS 252

The ICD-10-CM Tabular List of Diseases and Injuries 2018 Addenda provides insight to future diagnosis coding. Let’s review what is new, deleted, and revised in chapters 1-7. In future months, we will cover additional chapters. Chapter 1: Certain...

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Ending the Aging Process: How to Control Your Accounts Receivable
April 12, 2018 by Allzone MS 68

When your reimbursement staff is working old accounts receivable while also trying to stay up-to-date with current billing and collection activity, they can quickly feel overwhelmed. While the high dollar claims always need to remain a priority...

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Multiple Procedure Payment Reductions (MPPR)
April 11, 2018 by Allzone MS 64

The multiple procedure payment reduction (MPPR) means that if a healthcare provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the...

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The Providers Role in the New Medicare ID Transition
April 11, 2018 by Allzone MS 58

The one thing doctors should be doing is making sure their patients have their address correct with Medicare. The patient won’t get a new card if their address is not correct. This simple reminder could diminish ongoing problems for...

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5 New HCPCS Q Codes Effective July 1, 2018
April 11, 2018 by Allzone MS 48

Get a jump on five new HCPCS Level II codes going into effect July 1,2018. All are Q codes and they help patients with opioid addiction, knee pain, cystic fibrosis, and hemophilia. Q9991         Injection, buprenorphine extended-release...

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8 Useful Insights To Win The Prior Authorization Game
April 5, 2018 by Allzone MS 37

There is nothing more frustrating to physicians than knowing a patient needs a certain diagnostic test or medication and having them not be able to get it because their health insurance company won’t cover it. All too often, many services require...

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Blue Cross Blue Shield of Michigan launches bundled payment model for hip, knee replacements
March 29, 2018 by Allzone MS 25

Blue Cross Blue Shield of Michigan is piloting a bundled payment program with 64 surgeons at seven health systems in the state. Here are the four highlights. BCBSM aims to shave 10 percent off the average cost of non-complicated knee or joint...

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Don’t Make These Mistakes When Billing For Endoscopy Services
March 22, 2018 by Allzone MS 29

Learn the right way to code ‘incomplete’ colonoscopies Billing Medicare and other payers for endoscopy services is pretty different from billing for other types of procedures. And if you’re like most coders/billers, you’re probably making some...

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14 things to know about medical coding
March 20, 2018 by Allzone MS 35

Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are 14 things to know about medical coding. AAPC describes...

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The Best Way to Code for Critical Care
March 20, 2018 by Allzone MS 25

Key: Amount of time spent with the patient indicates which code to use. Coding for physician inpatient services, especially critical care, is deceptively straightforward. The reality is that the details of each code requirement can complicate...

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Blog Archives
  • April 2018 (9)
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