Don’t Tip Toe Around DME HCPCS Coding

Secure Your Rightful Reimbursement for Supplies and Braces With These Best Practices

When a physician or therapist believes that a patient will benefit from a durable medical equipment (DME) supply or brace, it’s up to the office staff to determine what healthcare common procedure coding system (HCPCS) code should be assigned for billing purposes. Unfortunately, there are More..

CPT Podiatry Coding

Medicare Doesn’t Cover ‘Cheap Pedicures’

Follow the 2018 CPT Podiatry Coding Standards or Face a Penalty

Podiatry does not often make the mainstream news, but two podiatrists have recently found themselves the recipients of some unwanted public attention. Podiatry coding mistakes are easy to make—don’t let your practice fall prey to improper billing allegations and compliance nightmares because of them. ‘Cheap More..

CPT Breast Procedures

Five Steps for Mastering Tricky Breast Procedure Coding

How to Get a Handle on Terminology, Wrinkles in CPT Codes

Coding and billing for breast surgical procedures can be challenging, especially when it comes to understanding clinical terminology for surgical and office-based breast care. Coders, billers, office managers, and clinical staff such as RNs and MAs all have a stake in improving documentation and submitting More..

Oncology CPT Codes Changes

Key Changes in Oncology 2018 CPT Codes Coming

Surprising Additions, Changes and Deletions Overlap With Other Specialties

The American Medical Association (AMA) has released the official 2018 CPT coding rules and guidelines, which include hundreds of code, guideline, and text changes in the codes that are universally used in the U.S. healthcare system to report services to providers, insurers and accrediting organizations. To More..

Out of Network Billing

ASCs Weigh Insurance Contracting vs. Out of Network Billing

Increasing Price Pressures Compete With Complicated Compliance Issues

Ambulatory surgical centers (ASCs) continue to undergo decreasing reimbursements, increasing regulatory and industry changes, and other industry pressures. Many ASCs are uncertain of whether they should enter into contracts with insurers, including Medicare, or remain out of network. Here are some of the main things More..

Telehealth Services

Compliance Challenges in Telemedicine

Final Article in Our Series on Telehealth & Telemedicine

Navigating regulations is nothing new to physicians and other providers, but adding telemedicine capabilities to your practice will add a few new compliance concerns. From federal requirements at the Centers for Medicare & Medicaid Services (CMS) and privacy concerns under HIPAA to various state regulations More..

Food Safety rules

New Rules on Imported Food

Final FSVP & Accredited Third-Party Certification Rules Affect Food Importers

If your business imports food products into the United States, you’ve got new rules to follow! The U.S. Food and Drug Administration’s (FDA) Foreign Supplier Verification Programs (FSVP) final rule outlines the activities importers should perform to verify that food imported into the United States More..