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Optimizing your revenue is more challenging than ever. Coding is complicated, the rules keep changing and pre-pandemic processes just aren’t effective. At Experity, we’re committed to keeping you informed about the biggest things happening around urgent care billing, coding, and compliance. Each month we’ll be checking in with our RCM experts and sending you a quick recap of the top three things you need to know to stay current and profitable as we navigate industry change and external influence
On October 1, 2020, the annual update to ICD-10 codes goes into effect. The ICD-10-CM Official Guidelines for coding and Reporting FY 2021 (October 1, 2020 – September 30, 2021) have also been updated. These guidelines are provided by the Centers for Medicare and Medicaid Services (CMS) with the National Center for Health Statistics (NCHS).
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Coding instructions are circulating regarding coding for COVID-19 and even laboratories are giving clinics incorrect coding information. Experity has provided the current coding information for diagnosis coding and laboratory testing. We will continue to update as changes occur.
During the COVID-19 public health emergency, urgent care clinics and other healthcare providers may be challenged to keep revenue flowing so they can continue to offer essential medical care. CMS expanded its Accelerated and Advance Payment Program in accordance with the CARES Act. To find out if you qualify for accelerated or advanced payments, check out the guidelines below from our experts.
As you navigate the uncertainties of providing patient care during the COVID-19 outbreak, the last question you should have on your mind is how to code a visit. Join us for a roundtable discussion with Experity RCM/Billing and Compliance Leadership on how to accurately code for COVID-19.
While collection agencies can help urgent cares expedite patient payments, the real goal is to improve your processes to be sure you seldom have a need to call on an agency. From implementing standards to training staff, our seven tips will go a long way to keeping patient accounts from requiring a third-party collections effort.
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.