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Tag Archives: reimbursement
Q&A: Unattended Home Sleep Study
Q. We have submitted unattended sleep study interpretations with code G0399 with Modifier 26 but have received some denials from Medicare and other commercial carriers. Is it appropriate to use one of the following codes 95800, 95801 or 95806 with a … Continue reading
Posted in How-To, Medicare, Noridian, Q & A, Q & A with RMC
Tagged advice, answers, assistance, billing, claim, CMS, coding, compliance, CPT, medicare, noridian, physician, questions, reimbursement
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Q&A: Hospitalist E/M Coding, 2 physicians, different subspecialties
Q. Can a new patient be seen and billed for 2 new patient E/M services when seen by two neurologists in the same group practice, but different subspecialties? A. If you’re following CPT guidelines, the answer is yes. CPT defines a new … Continue reading
Posted in Medicare, Noridian, Q & A, Q & A with RMC
Tagged advice, answers, assistance, auditor, billing, claim, CMS, coding, compliance, CPT, E/M, education, Evaluation and Management, healthcare, hospital, hospitalist, medicare, noridian, physician, reimbursement, services
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Most Physicians Not on Par with Medicare PQRS Quality Reporting Standards
Fewer than one-in-five providers can claim compliance with Medicare Physician Quality Reporting System (PQRS) requirements, according to a recent Harvey L. Neiman Health Policy Institute report. Unto those few who currently align themselves with the reporting policies, .5 percent Medicare … Continue reading
Posted in Medicare, News
Tagged advice, assistance, auditor, billing, claim, CMS, compliance, education, EHR, EMR, healthcare, help, medicaid, medicare, physician, physicians, PQRS, practice, quality, reimbursement
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Noridian Medicare Part B Update re: ICD-10, posted 1/02/13
ICD-10: Simple Steps to Improve Clinical Documentation On October 1, 2014, your practice and the clearinghouses, payers, and billing companies that you work with will need to use ICD-10 codes. One way to help your practice prepare for ICD-10 is … Continue reading
Posted in Medicare, News, Noridian
Tagged advice, answers, assistance, billing, claim, CMS, codes, coding, compliance, documentation, education, healthcare, hospital, ICD-10, medicare, noridian, physician, reimbursement
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OIG Report on Coding Trends of Medicare E/M Services
In May 2012, the HHS Office of the Inspector General (OIG) issued a report on the Coding Trends of Medicare Evaluation and Management Services. Medicare payments for E/M services increased 48% between 2001 and 2010 whereas payments for other part … Continue reading
Posted in Medicare, News, RMC E-Alerts
Tagged advice, assistance, auditor, billing, claim, coder, codes, coding, compliance, documentation, E/M, Evaluation and Management, medicare, OIG, physician, physicians, practice, reimbursement
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HPI Element: Modifying Factor
A modifying factor is something that is being done to help or alleviate the problem. In order to qualify this element, there should be some notation of the patient’s response to that which was done. For example: patient has knee … Continue reading
Posted in How-To, News, Q & A, Q & A with RMC, RMC
Tagged advice, answers, assistance, CMS, coder, codes, coding, compliance, component, CPT, documentation, E/M, education, element, Evaluation and Management, history, HPI, medical coding, medicare, physician, physicians, practice, questions, reimbursement, support
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Article: Medicaid to Stop Reimbursement for Unnecessary ER Visits
Starting on April 1, Medicaid will no longer reimburse for unnecessary emergency room visits in Washington state. Read Seattle Times Article: Here Carol Ostrom. “State Medicaid to quit paying for ER visits deemed unnecessary” Seattle Times February 7, 2012.
CMS Recovery Audit Prepayment Review Demonstration Project
The CMS announced that the Recovery Audit Prepayment Review Demonstration, which was delayed from its initial start date of January 1, 2012, is expected to move forward on or after June 1, 2012. The Recovery Audit Prepayment Review will allow … Continue reading
Posted in Medicare, News, Q & A, Q & A with RMC, RMC
Tagged auditor, claim, claims, CMS, coding, compliance, demonstration, documentation, error, improper, medicaid, medicare, physician, prepayment, RAC, recovery, reimbursement, review
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MUCH ADO ABOUT E/M: Medical Decision Making Q&A
Thank you all for listening to the MUCH ADO ABOUT E/M series! We hope to offer more great topics of interest to physicians and their coders so please let us know if there is a particular area that you’d like … Continue reading
RMC’s May Audio Conference – Physician Modifiers: When to Use Them
Dial in anytime on May 19, 2011 and tune into our Audio Conference on “Physician Modifiers: When to Use Them.” Presented by Angela Harrington, CPC. Email Kristin@rmcinc.org or call 800-538-5007 for more details and pre-registration.
Posted in Audio Conferences, Uncategorized
Tagged advice, answers, assistance, audio, coder, codes, coding, compliance, conference, education, May, modifiers, physician, physicians, questions, reimbursement, RMC, use
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