Making costly coding mistakes when reporting shoulder surgical procedures is, sadly, rather easy. After all, you have a whole host of complex coding rules to follow – not to mention the major coding and documentation changes that have come down the pike for 2018. From More..
From differentiating between biopsy and partial mastectomy to reporting image-guided biopsies, including placement of radiological markers, coding for breast procedures is nothing short of mind-bending at times. And the Centers for Medicare & Medicaid Services’ (CMS’) recent changes to breast-related CPT and ICD-10 codes doesn’t More..
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..
It is crucial that you know how to market your healthcare organization without violating the Federal Civil Anti-Kickback Statute (AKS)—as well as to protect yourself from crippling lawsuits and fines. That’s according to healthcare law expert William Mack Copeland who, in his webinar “Keep Your More..
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..
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..
If yours is like most practices, you probably have an increasing number of patients who want to communicate with your staff electronically. You want to provide the best patient care, and texting and emailing with patients is a convenient and effective way to enhance your More..
Studies have been showing for a while a glaring problem in the U.S. – inadequate care for patients who show up at emergency departments (EDs) with behavioral health challenges. In the defense of ED staff, these challenges are difficult to assess. Add to that the More..
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..
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..