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The current E/M coding guidelines have been in effect for more than 25 years despite the fact that the healthcare industry has experienced momentous change. With new techniques, drugs, protocols, and restriction on how practitioners practice, it’s time for a change. And in 2021, CMS will unveil their new guidelines for E/M coding.
In this industry, getting patients in and out fast is your biggest priority. But to be successful, it’s just as important to manage your billing accurately and efficiently. This eBook will provide essential tips for billing non-credentialed and non-contracted providers, best practices and 10 KPIs you should be watching.
While the rules may vary between government and commercial payers, there are two circumstances when a physician can bill under another physician’s provider number. Both arrangements apply to physicians only, not mid-levels.
The Anti-Kickback Statute (AKS), was first in place in 1972 to curb abuse and Medicare and Medicaid fraud stemming from medical professionals offering services to receive benefits outside regular fees and reimbursement. Learn how to stay compliant.
The urgent care business is booming. What that means for you is more patients—and more claims. Processing an increasing number of claims can be a challenge for clinics, especially regarding compliance. Here's how you can lower your risk.
The CMS Merit-based Incentive Program (MIPS) was designed to tie payments to quality and cost-efficient care, drive improvement and outcomes, increase the use of healthcare information, and reduce the cost of care. Learn the top five things you should know about MIPS.
For urgent care clinics and healthcare providers in general, a backlog in accounts receivable (AR) isn’t unusual. Collecting unpaid debt is a burden that can be lifted by hiring a collection agency. Ask these questions before you make your choice.
Urgent care billing mistakes won’t just cost your center a few cents off the dollar. They can be extremely costly – sometimes even at the expense of the success of...
Let’s face it; no one wants to send patient accounts to collections. It’s embarrassing for patients and a legal minefield for urgent care billing departments. At the end of the...
In this issue, we explore urgent care coding trends over the last five years. We look at ICD-10, CPT®, and E/M codes and share insights into what these trends mean for on-demand healthcare providers.
Research verifies that average reimbursement per visit for new patients is higher than for established patients at every E/M code level. Is your marketing effectively drawing in patients when they need urgent care? Use these tips to help you attract them.
Hundreds of lab codes are expected to see reduced payments under a planned Medicare fee schedule change that will take effect January 1, 2018. The changes are a provision of...