CMS is pleased to announce that the 2013 Physician Quality Reporting System (PQRS) incentive payments are now available for eligible professionals and group practices who submitted data for Medicare Physician Fee Schedule Part B services between January 1, 2013 and December 31, 2013. The PQRS incent... Read More
Stop by and say "Hi" - Visit Find-A-Code at booth 1645!The 86th AHIMA Convention and Exhibit takes place at a critical point in health information history, making the convention a must-attend event for professionals across all healthcare segments: providers, payers, vendors, consultants, and se... Read More
CMS has added more PQRS training modules to help simplify the process, including one for the beginner, intermediate and advanced PQRS reporting. Designed to help you find the information you need to satisfactorily participate in PQRS and other programs that offer incentive payments in 2014.... Read More
January 26-30, 2015
During the week of January 26 through 30, 2015, a sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to... Read More
October 3rd is Last Day for 1st-year Medicare EPs to Begin a 2014 Reporting Period
CMS wants to make sure you don’t miss an opportunity to receive incentive payments for the Medicare EHR Incentive Program.
The last day to begin a 2014 reporting period for first-year Medicare eligible... Read More
Questions and Answers for Psychologists and PQRS. In 2007 Psychologists had very limited opportunity to participate. As of 2014, there are 11 measures available for claims-based reporting and two for registry reporting.
For the entire article read more here Practice Central.or... Read More
If you have worked in billing and reimbursement, you are aware that turning patients over to a collection agency to collect on a debt should always be a last resort. Are your office policies conducive to retaining happy, paying patients or harming the word-of-mouth advertizing so important to medica... Read More
CMS has a released a fact sheet on HIPAA Privacy and Security basics for providers. Designed to provide education on covered entities and Business associates under the HIPPA Privacy Rule.
Examples of a Covered Entity would be:
Nursing Homes... Read More
The CMS Physician Quality Reporting System (PQRS) Program: "What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training Course — Released
“The CMS Physician Quality Reporting System (PQRS) Program: What Medicare Eligible Professionals Need to Know in 2014&r... Read More
A HIC number (HICN) is a Medicare beneficiary’s identification number. Also, remember when billing, ALWAYS use the name as it appears on the patient's Medicare card.
Both CMS and the Railroad Retirement Board (RRB) issue Medicare HIC numbers. The format of a HIC number issued by CMS is a Soci... Read More
How many code sets are there?
Did you know?
Along with the ever so popular code sets we are so familiar with and use every day such as:
ICD-9, ICD-10, DRG’s, CPT, HCPCS, ICD-9 Vol. 3, CDT, ICD-10 PCS, APC and NDC codes,
Find-A-Code has lists of many other code sets (To... Read More
MD interactive provides support to access disease management and registry database systems reporting PQRS to avoid penalties including:
Avoid 2% PQRS Penalty
Medicare Qualified Registry
Easy PQRS Submission
Unlimited phone and email support
Real-time performance reports
Video tut... Read More
When reporting Perioperative care measures group, make sure to submit code G8492 first to signal that the provider intends to report the perioperative care measures group before coding G8501 to show that the clinician has met the requirements for the measures group.... Read More
Some providers routinely submit duplicate claims to Local Part B Carriers and DMERCs for a single service encounter. This is inappropriate. CMS asks providers and suppliers to discontinue this practice.
Unlike other health insurance payers where it is customary to bill until paid, multiple or repet... Read More
Due to the increase of medical transactions stored online and in the cloud, cyber intrusions will only increase.
Cyber insurance, also known as privacy and network security insurance, can help cover the costs incurred if your computer system is compromised, or after a data breach which can inc... Read More
Do I Need Error and Omissions (E&O) Insurance for My Billing Company?
Over the years Medical billing has been considered low risk, now it has developed into a huge liability with HIPAA, E&O and Business Associate Agreements to name a few.
HIPAA has rocked the world for small businesses. Lo... Read More
Fee SchedulesDo you know what the fee schedules are for each of your top insurance companies? Do your providers know how much they are getting paid for the services they provide and manage their practice to maximize reimbursement?
Learn how to maximize reimbursement by knowing, understanding... Read More
Check out this chart CMS has put out for a guidance on hot to determine whether an organization or individual is a covered entity under the Administration Simplification provisions of HIPAA. Covered Entity Charts... Read More
The Center for Medicare and Medicaid Services (CMS) has approved the final version for the new ICD-10-CM and ICD-10 PCS. Until coders and billers convert to this new ICD-10-CM coding system on October 1st, 2014 (now 2015), they will continue to use the ICD-9-CM codes and CPT/HCPCS codes. Howeve... Read More
Are you keeping up with Medicare's E-health news and updates. Keep informed, information related to Medicare's E-Health programs can be viewed here. (Click Here)
Electronic Health Records
Personal Health Records
EHR Incentive Programs
eRx ... Read More
The new ICD-10 interim final rule is expected to be released in the near future by the Department of Health and Human Services (HHS). It requires the use of ICD-10 beginning October 1, 2015. You will continue to use ICD-9 CM through September 30, 2015. Claims will not be accepted with IC... Read More
The -GP modifier needs to be appended to physio-therapy codes when submitting Medicare claims. However, be aware of differing policies for different types of payers. Chiropractors typically use the following Physical Medicine codes from the CPT book: 97010 thru 97799 (except... Read More
This code would be used rarely in a chiropractic office. 99211 is a low complexity examination for an established patient. It can be used by chiropractors, but in most instances, it is discouraged.
The 99211 code, also known as the nurse's code, is not really made fo... Read More
It is a common practice for a solo doctor to find someone to cover for them while they are away from the office for a temporary or extended period of time, such as medical leave, or vacation. Some offices fail to code properly for the services rendered by the “fill-in” doctor. When compl... Read More
CMS offers exclusions and hardship exceptions for eligible professionals who face challenges in meeting meaningful use objectives that require that they and their patients have broadband access and Internet connectivity.
Patients’ Access to BroadbandThe Secure Electronic Messaging m... Read More
The associates in the provider’s world and healthcare society are filled with loads of potential business associates and endless individual identifiable health information.
We have had so many questions about business associates I thought I would go to the source and put together some i... Read More
Do I Need Error and Omissions (E&O) Insurance for My Billing Company?
Having a billing company for the past 20 years, has been a great journey, 20 years ago it was called a Home-Based Business, today it is called a Corporation, more for protection and liability reasons. Over the years Medical b... Read More
The law requires that a physician must document that a physician, nurse practitioner, physician assistant or clinical nurse specialist has had a face-to-face encounter with the patient. The encounter must occur within the 6 months before the order is written for the DME.
On September 9, 2013, the C... Read More
ATTENTION In-Patient Hospitals
CMS has announced a settlement request to Inpatient hospitals for claims in appeal status! Due to the unprecedented growth in claim appeals the demand continues to exceed Medicare’s available resources. CMS has made an offer in hopes of quickly reducing inpatien... Read More