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Category: Medical Coding

Thaw Out: Don't Let Hypothermia Claims Freeze Your Bottom Line

Every year, it’s always the same. After the holidays, after the New Year, after vacations are over and routine has started, we wait for the spring. A small burst of warmth and sunlight leaves us clamoring for warm weather, even when there’s a month left of winter. Stay warm, and hang in there! In the […]

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Staying On Top Of Medicare Changes in 2019

The simplest solution is usually the best one. When it comes to the tangled web of Medicare services and billing, however, staying simple isn’t always easy. Every year, the Centers for Medicare & Medicaid Services (CMS) update their policies in order to stay on top of technological advances and to streamline their processes. Less paperwork […]

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2018 Centers for Medicare & Medicaid Services (CMS) Rule Changes

Is your Anesthesia practice aware of all of the code changes for 2018? Incorrect coding could lead to delays in payment, and in some cases, it could completely prevent you from being receiving payment. Even when accurately reported, this code change represents a 40% reduction in base units, and many anesthesia practices are not even aware. […]

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Palmetto GBA Selected as Medicare Administrator for Jurisdiction J

The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J. This jurisdiction, covering Alabama, Georgia, and Tennessee represents 7% of the national Part A/Part B claim-volume workload. This change is having a dramatic impact on anesthesia practices across this 3 state regions. These practices […]

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What Are the 2017 Changes to Epidural Steroid Injection Coding?

As of January 1, 2017, CPT codes 62310-62319 have been deleted. In their place, new codes have been added so that the use or non-use of imaging with epidural steroid injections is now reflected. If your anesthesiology practice hasn’t yet updated its systems, do so now, using the following new ESI codes. Why Have These […]

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What Is the Federal False Claims Act?

The Federal False Claims Act places civil liability on practices that knowingly submit, or cause the submission of, a fraudulent or false claim. What could happen if your practice were found guilty of such an action? Keep reading to find out. Penalties Under the Federal False Claims Act Obviously, penalties abound for filing false or […]

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How Your Practice Can Deal with Upcoding and Downcoding

Part of running a successful medical practice is navigating the complicated world of medical coding and billing. Doing so means understanding obstacles – both foreseen and unforeseen – and overcoming them with proven solutions.   Two problems with medical billing and coding that are commonplace, but not always understood, are upcoding and downcoding. Both involve […]

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