Healthcare providers in any medical specialty should submit claims with appropriate medical codes and modifiers to receive proper reimbursement for services provided. This holds true for the...
Guidelines for Using ‘Separate Procedure’ CPT Codes
The AMA Current Procedural Terminology (CPT) lists a term ‘Separate Procedure’ under surgery guidelines. The term refers to the procedures and services performed as integral components of a total...
Getting to Know the Provisions under ERISA
What is ERISA? ERISA is something your practice needs to know about. ERISA, or Employee Retirement Income Security Act, is a 1974-enacted Federal Law conceived to protect the pension plan of an...
Dangers of Erroneous Submission of Medicare Claims
The faulty submission of medical claims can get you into serious financial trouble and adversely impact the bottom line of your practice. A recent example is the case of the St Luke’s University...
How the 2% Medicare Reimbursement Reduction Will Affect ASCs
The debt-ceiling crisis in United States during 2011 paved way for the imposition of Budget Control Act of 2011. The measures to reduce discretionary spending kicked off in January 2013 with the...
Meeting HEDIS Quality Care Goals
There is an increasing focus on the quality of care, whether its prevention, early diagnosis of illness, or therapeutic services. HEDIS ((Healthcare Effectiveness Data and Information Set), created...
Crisp and Objective Obama Care Coverage Forms
Affordable Care Act or Obama HealthCare will provide tax credits to the low/middle-income group of Americans, thus helping them purchase insurance through state-run insurance exchanges. The coverage...
Patient Appointment Cancellations – How to Turn Them to Your Advantage
Appointment cancellations and no-shows are distressing for physicians’ practices. Patients who fail to show up for an appointment or cancel it reduce your revenues and cause waste of valuable staff...
New Medicaid Report Reveals That Physicians Will Be Paid More in the Year 2013
With the effects of the economic recession wearing off and US states slowly picking up the reins of progress once again, a welcome Medicaid trend has been reported. Many states are boosting payment...