The Centers for Medicare & Medicaid Services (CMS) recently published the 2017 Medicare Physician Fee Schedule and Hospital Outpatient Prospective
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Cigna vs. Humble: Key Takeaways for Out-of Network Providers
The number of lawsuits involving billing disputes with Employee Retirement Income Security Act (“ERISA”) and out-of-network healthcare providers has increased
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Identifying Common Medical Decision Making (MDM) Mistakes in Emergency Departments
Medical decision-making (MDM) mistakes are common. Identifying elements of medical decision making (MDM) and medical necessity are the foundation of
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What’s Propelling Telemedicine’s Continued Expansion In 2016?
Telemedicine is rapidly becoming an accepted part of the health care delivery system. It represents one of the biggest shifts
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5 Steps to Perform an Internal Billing Audit for Physician
Auditing physician charges and billing practices allows the physician and practice staff to identify incorrect billing pattern before claims are
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A 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
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A 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
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EMTALA Requirements for the Emergency Department
According to the “Emergency Medical Treatment and Labor Act” (EMTALA), hospitals are now required to have their emergency department (ED)
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Clarifying 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
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A 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
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