A Billing and Coding Conundrum?
I referred to the Merriam-Webster Dictionary for the meaning of the word "conundrum" and found that is defined as a "confusing, intricate, and difficult problem." Voila! I had found my word for what is to be addressed in this article!
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Making Sense of a Sudden Carrier Contract Break
Narrow Networks, a term that has come about in the last few years describes carriers that have been trimming down their in-network providers in an attempt to curb costs.
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Muddy Roads Ahead for Electronic Health Record Documentation?
When I was small (very, very young, of course) and the highway system not quite so developed, I remember seeing signs that read: "Warning Muddy Roads Ahead." I think of this phrase as I am performing the "baseline" audits for Medical Practices in p...
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ANALYZING PRACTICE OPERATIONS FOR 2011
The tasks and responsibilities of all individuals and practitioners involved today in clinical medical practice operations are often overwhelming and 2011 promises to be one of the most challenging in the recent past.
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COMPLIANCE ALERT FOR THIRD PARTY BILLING COMPANIES
As long ago as 1998 - December 18, 1998, to be exact - the Federal government issued the "Compliance Program Guidance for Third Party Medical Billing Companies". These guidelines were published in the Federal Register to establish and develop guidan...
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Top 10 Ways to Save Money in Your Office
In today's economic climate, it becomes more important that Practice Managers and Coding/Billing Specialists find ways to increase revenue and reduce the costs of practice operations. Many times we are forced to go back to the old Management principl...
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The Top 10 Do's and Don'ts for Medical Coders
The professional Medical Coder/Billing Specialist of today faces many challenges and complexities when dealing with insurance contracts and carriers. The following tips will help pinpoint important concepts that we must continually manage in our figh...
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E and Earn
The Centers of Medicare and Medicaid have issued updates concerning E-Prescribing for 2009. As authorized under Section 132 of the Medicare Improvement for Patients and Providers Act of 2008 (MIPPA), a new incentive program, separate from the PQRI in...
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The Top 10 Dos and Don'ts for Medical Coders
The professional Medical Coder/Billing Specialist of today faces many challenges and complexities when dealing with insurance contracts and carriers. The following tips will help pinpoint important concepts that we must continually manage in our figh...
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Payment
On July 15, 2008 Congress met demands made by the "grassroots" of the medical profession, other medical organizations, and the public by overriding the President's veto of the Medicare Improvements for Patients and Providers Act, 2008. In so doing, C...
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