Many changes have affected primary care physicians (PCPs) in recent times. These include the shift to value-based care from the fee-for-service payment model, new regulatory requirements, the rise of new models of care, and the merging of independent practices with...
Undercoding is as much a problem as overcoding and occurs when the CPT and HCPCS codes billed do not indicate the full scope of the work performed by the physician or facility. In addition to lost revenue, undercoding is likely to make you a target for audits....
The Centers for Medicare and Medicare (CMS) has released new health insurance market place rules which will take effect from January 17, 2017. Referred to as the “payment notice,” the rule is an annual CMS omnibus rule that covers all the major changes that CMS plans...
Insurance verification and authorization is the first and probably most important step in the medical billing process. Patient eligibility verification involves checking out the patient’s coverage before services are provided. While checking patients’ insurance...
Can a virtual-reality game played on mobile phone really cause physical injuries? Yes, “Pokemon Go” can. The craze for the game is resulting in more and more accidents. Using Google Maps, it creates a world that mirrors the user’s own reality. Gamers use their mobile...
