The below articles are all published in BC advantage
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Get Reimbursed With Billing Guidelines for Audiology Services
When billing for audiology services, you need to be careful how you are billing for professional skills and technical skills. Technical component is taken care of by an experienced technician using a specific protocol under the direction of a supervi...
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Is the End Really Near?
What is going on? We hear rumors that the end is near; well, that depends on what you are talking about - the end of what? The pandemic is not over; we are just making a transition.
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New Modifier Required on all Single Use Drugs
Attention providers and suppliers, there is a new modifier in town! Starting July 1, 2023, Modifier JZ - Zero drug wasted, will be required on all claims to attest there is no drug left over, if applicable. Meaning there is zero drug amount discarded...
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2023 Coding Conundrums
We have our first bit of 2023 behind us, which means the first of the claims for the new year have been submitted. Here's the $100,000 question: Are your claims paying appropriately with the 2023 Evaluation and Management (E/M) changes that hav...
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Choosing the Right Tool: Targeted vs. Random E/M Audits
The realm of E/M (evaluation and management) auditing is vast, and 2023 will bring more work here than before thanks to CPT's extensive revisions to its E/M guidelines for inpatient, facility, and home visit services - now in effect. Both compliance ...
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How to Outsource Medical Billing for Oncology Practices
There are certain billing aspects that oncology practices ought to know before hiring third-party billing companies. Oncology medical billing is complex, and medical practices need experts who can handle the revenue cyc...
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Five Steps for Provider Credentialing
When your facility hires a new provider, they need to be credentialed. This process allows you to verify their qualifications and skills while getting them approved to work with insurance companies. Medical credentialing is a time-consuming and expen...
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Three Ways Medical Groups Can Leverage Digital Self-Service to Drive Growth
That medical groups and health systems share a commitment to delivering convenient, high-quality care in their respective settings isn't surprising. What is eye-opening, however, is that despite their differences in size and structure, they face many...
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Medicare Fee Schedule Changes In 2023
The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1...
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Evaluation and Management 2023 Updates
Changes to 2023 Evaluation and Management (E/M) coding will impact CDM files, coding, documentation, charge capture processes, and various information systems.
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How to Establish a Business Plan for Your Holistic Practice
Opening a holistic healthcare practice is an exciting and challenging endeavor that requires careful planning and preparation. A business plan is a critical tool that can help you to organize your thoughts, set goals, and create a roadmap for your pr...
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A Long Time Coming: 2023 Changes to Inpatient Prolonged Service
It's been two years since CMS collaborated with the AMA to revamp Evaluation and Management (E/M) coding guidelines, including a rework of prolonged service codes in the office/outpatient setting.
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Investigation of Hospitals Hiding Prices from Patients
The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. Compliance is mandatory. The regulation aims to improve the affordability of hospital care by promoting price co...
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Top 5 Ways Medical Practices Can Combat Inflation
Inflation is affecting many businesses, but medical practices tend to see the brunt of its effects because of the way payment structures are dictated by insurance payers. Even more worrisome, practices have had to increase wages significantly and the...
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