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To understand this dynamic, you need to know who the customer is. One of the key questions arising from looking at financial statements is this: how do we “get to
Tia Tech USA and ICD10monitor conducted a survey among Talk Ten Tuesdays listeners and Monitor Mondays readers. The revenue cycle function in healthcare is a complex process that has led
Can you survive an OIG Audit? When the Public Health Emergency (PHE) was extended for the 10th time on July 15, 2022, continuing the PHE through October 13, 2022, so
Some new credit agency reporting rules can make it impossible for physicians to collect legitimate patient amounts due. The No Surprises Act is big news. I think we all agree
Office billing is now based solely on either MDM or total time. Last week, I declared that it is my opinion that medical decision-making (MDM) should always be one of
Document an uncertain diagnosis early if consistent with clinical indicators, not wild speculation A physician advisor recently asked me a question regarding Section II. H. from the ICD-10-CM Official Guidelines
In split/shared billing, the physician should contribute substantively to taking care of the patient and be permitted to bill for it, even if an NPP participates, too. By Erica Remer,
Surprise billing occurs when patients receive care from out-of-network providers without their knowledge. On July 1, the Biden Administration passed an interim final rule: the first portion of the “Requirements
CMS also suspended Medicare’s FFS claims payment adjustment through December. The Centers for Medicare & Medicaid Services (CMS) announced that the suspended sequestration payment adjustment of 2 percent – which
This new law is set to take effect on Jan. 1, 2022. In the closing days of 2020, Congress enacted and the President signed into law the “No Surprises Act.”
Pay attention to dates associated with the new COVID–19 codes, Z20.822 and Z20.828, to avoid billing errors. In December 2020, the Centers for Disease Control and Prevention (CDC) announced six
EDITOR’S NOTE: This article was originally published online last week, but following review by members of the editorial board to correct minor factual errors, it has been revised and republished. IntroductionThe
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