Coding spinal fusions is confusing enough, but coding them when the surgeon used spinal instrumentation is even more perplexing. And thanks to the many significant CPT code changes in 2017 and 2018, you have a lot on your plate to figure out before you can More..
Non-surgical hospital services often go undocumented or under-billed for urologists. Why? Many coders, both new and seasoned, have little experience in properly coding these services, which leads to loss of deserved reimbursement. Critical: You need to understand the special coding rules and clinical scenarios for More..
If you find coding injection, infusion, and hydration services more than a little confusing, you’re not alone. The Medicare CPT guidelines are multi-layered and often puzzling. But if you don’t hone your coding skills, you’ll face a mountain of denied claims and lost reimbursement. Essential: More..
Is your hospital complying with the rules that the Centers for Medicare & Medicaid Services (CMS) has established for standing orders? If you feel less than confident answering “yes” to this question, you’re not alone – but your noncompliance could seriously hurt your bottom line. More..
The Centers for Medicare & Medicaid Services (CMS) recently launched its home health Targeted Probe and Educate (TPE) program, which aims to improve your claims accuracy. But what does the TPE process really look like, and what can you expect from the experience? The TPE More..
Hospices have a lot to juggle in 2018, including increased audit scrutiny and payment changes. But it’s the significant changes to hospice quality reporting that will have you scrambling to stay in compliance and avoid a payment penalty for failing to report your data. Embedded More..
If your practice is like most others, about 30 percent of your revenue comes from patient payments. But collecting patient balances is no easy feat; patients know that few providers will send their balances to collections agencies. People typically pay their outstanding medical bills last More..
Thanks to the launch of the new Hospice Compare website, your agency’s quality scores are on display for the whole world to see. Plus, you have a variety of new quality reporting items to contend with. From the Hospice Item Set (HIS) to the Hospice More..
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 common mistakes that can cost you lost time and valuable reimbursement dollars. When billing for endoscopy services, More..
Like most skilled nursing facilities (SNFs), you and your staff are likely neck-deep in preparations for the new survey requirements of participation (RoPs). SNFs are in the midst of Phase 2 implementation, which includes a new survey process, as well as updated Interpretive Guidance (IG), More..