What You Must Know About New Medicare Guidelines and ICD-10

Find out why getting your ICD-10 codes right matters more than before. Mark Twain wrote, “The difference between the almost right word and the right word… [is] the difference between the lightning-bug and the lightning.” Could we say the same about the difference between diagnostic codes? CMS’ “grace period” for implementing new Medicare guidelines for … Read more

Understanding How MACRA and MIPS Make Documentation Matter Even More

Discover why your success in this QPP track depends on documenting. You probably don’t need to be told Medicare physician reimbursement is currently seeing, as Modern Healthcare put it, “its biggest change since its launch in 1965.” To avoid financial penalty, approximately 622,000 U.S. clinicians (as estimated in CMS’ final rule about the program) must … Read more

How to Make Sure Your Practice Achieves Telemedicine Compliance

Telehealth is on the rise. Here’s what you need to know to keep pace. It seemed like science fiction not long ago, but telemedicine (or telehealth)—real-time, two-way communication between physicians and distant patients—is poised to reshape U.S. healthcare delivery, especially in rural and other underserved areas. Granted, according to a 2017 study, 82% of consumers … Read more

Two “Do’s”, Two “Don’ts” for Handling a Medical Coding Audit

Find out four pointers for making it through your medical audit successfully. The most recent GAO report concerning money the U.S. government improperly paid,  estimates Medicare Fee-for-Service spent about $36 million it shouldn’t have in FY 2017. While that figure represents a 2.5% decrease—the lowest rate since 2013, in fact—it’s still an awful lot of … Read more

Discover the Best Way to Lower Your Reliance on Medical Coding Services

You can do more medical coding for yourself than you might think. Here’s how. If you’re like most U.S. healthcare providers, you’re already concerned about the complexity of the regulations you have to comply with when coding patient visits. Because the rules are so complicated, physicians often turn to external medical coding services for help. … Read more

Top 5 Common Medical Billing Mistakes and How to Avoid Them

Discover why better documentation is the best defense against these mistakes. There’s good news and bad news about improper Medicare Fee-For-Service payments. The good news is the improper payment rate fell from 11% in 2016 to 9.5% in 2017—a $4.9 billion decrease. The bad news? According to CMS, most improper payments were “due to documentation … Read more

Medical Billing 101: What Are the 1997 E/M Guidelines?

Discover key distinctives of the 1997 E/M coding rules and why they matter. A lot was new in 1997. Titanic was a new box office blockbuster. Steve Jobs was back at Apple as the company’s new CEO. Harry Potter was a new star in children’s literature. Here’s something else that was new—the Medicare billing E/M guidelines … Read more

Are These 9 Health Apps (And 1 Medical Coding App) Your Must-Haves?

As more doctors use mobile devices, discover 10 of today’s top apps. The Pew Research Center reports that 77% of Americans own smartphones. And U.S. physicians’ adoption of mobile devices appears to mirror that statistic. Forbes contributor Daniel Newman cites research showing 80% of doctors “already use smartphones and medical apps.” He says the trend … Read more

Finding the Best Online Coding Courses for Your Hospital’s Physicians

Focusing on this criterion simplifies your choice of medical coding courses. Be careful: Your hospital is being watched. Not yours alone, of course. Hospitals across the U.S. face increasingly strict scrutiny from Medicare Administrative Contractors (MACs). And it’s not hard to figure out why. According to CMS, 9.51% of Medicare claims in the fiscal year … Read more