Auditing physician charges and billing practices allows the physician and practice staff to identify incorrect billing pattern before claims are
...Continue readingA Primer on EMTALA and its Impact
Did you know that hospitals are required to provide appropriate treatment and screening to every patient who presents to the
...Continue readingA Brief Overview of Direct Primary Care (DPC) Model
In a course of their career, primary care physicians spend 40% of their practice revenue dealing with billing issues and
...Continue readingClarifying the Confusion Surrounding Time-Based Services Coding
Time-based coding is one of the least-understood elements in Evaluation and Management Service coding. Unlike other E/M patient encounters which
...Continue readingA Peek at New Paravertebral Nerve Block CPT Codes
A paravertebral or paraspinous blocks is a unilateral block of the spinal nerve, including the dorsal and ventral rami, as
...Continue readingTaking the Difficulty Out of Dental Medical Cross Coding
For over 30 years, dental practices have been getting reimbursed by medical insurance. Although the policies, trends, and codes have
...Continue reading6 Tips to Pass Your Audits in Flying Colors
Despite the fact that internal auditors have no influence about whether and when they are the subject of a Medicare
...Continue readingPhysician Compensation Report 2016
This year (2016) has seen some reasonably good news for most physicians! More than 19,500 physicians in 25 specialties responded
...Continue reading10 Key Points in the New CMS Primary Care Payment Model
The Centers for Medicare and Medicaid Services recently announced a new primary care initiative called Comprehensive Primary Care Plus model,
...Continue readingUrology Coding – Making Sense of Modifiers in 2016
If you are a coder involved in urology coding, it’s imperative to know modifiers inside and out, or your might
...Continue reading