NPP Services

Understand the 3 Distinct Billing Options for NPP Services

Don’t try to bill incident-to when the NPP provides initial visit

The use of non-physician practitioners (NPPs) in all healthcare settings is rising rapidly. But, unfortunately, many providers are billing for NPP services all wrong – and facing increasing denials and reduced payments. NPPs have their own specific rules and guidelines, along with unique coding and More..

FDA Food Facility Inspection

Prepare For 3 Phases Of An FDA Food Facility Inspection

The secret to a passing grade depends as much on what you don’t say as what you do

Every year, millions of Americans get sick—and some even die—because of foodborne diseases, according to the Centers for Disease Control and Prevention. With the passage of the Food Safety Modernization Act (FSMA), the Food and Drug Administration (FDA) is on a mission to prevent foodborne More..

Out of Network billing

How to Ease Your Out-of-Network Billing Headaches

Why you need to keep an eye on ‘balance billing’ legislation

Billing as an out-of-network provider poses unique challenges and obstacles to getting the reimbursement you deserve. Don’t let insurance companies give you the run-around just because you’re not “in-network.” You can take specific steps to successfully bill for out-of-network care, according to medical billing expert More..

Radiation Exposure

Weigh the Risks & Benefits: FDA & CMS Look to Your Hospital to Manage Radiation Dosages

Patient Care Means Responsible Use of Available Imaging Techniques, Feds Warn

When your entire way of doing something changes, adjusting takes time – especially when that “something” is 41 pages of detailed changes to the already unwieldy hospital Conditions of Participation (CoPs). These extra changes to radiology and nuclear medicine have many hospitals confused, particularly when More..

Locum Tenens Services

Locum Tenens: When You Can (And Cannot) Use Modifier Q6

Heads Up: CMS Has Changed the Lingo for Reciprocal Billing Arrangements

If you’re not using modifier Q6 correctly, you could be leaving thousands of dollars or more on the table. This modifier (and its proper use) is crucial to getting deserved reimbursement for locum tenens services. Don’t let a physician’s illness or vacation devastate your practice’s More..

EM services for Urology

Beware of 3 Common E/M-Related Claims Denials in Urology

Why you should tread carefully when using modifiers -25 and -59

Whether you’re new at coding or an experienced coder, you face a great risk of falling into certain evaluation and management (E/M) coding traps – which can cost your urology practice its reimbursement. You need to stay current on the most prevalent causes of denials More..