Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously […]
The post CMS Proposes 2024 Medicare Physician Payment Policies appeared first on AAPC Knowledge Center.
Make an informed decision when choosing a company responsible for your reimbursement. If you’re a physician looking to boost your reimbursement rates, increase your financial performance, save on operating costs, or devote more time to patient care, outsourcing your billing needs is the way to go. Not all physician billing services are the same, however. […]
The post 5 Qualities of a Great Physician Billing Solution appeared first on AAPC Knowledge Center.
Conviction is just one of more than 130 such criminal cases involving $ 80 million A federal jury convicted a Colorado physician, Jan. 13, for misappropriating about $ 250,000 from two separate COVID-19 relief funds. The Accusation According to court documents, Francis F. Joseph, MD, 57, received about $ 118,000 from the Accelerated and Advance Payment Program and […]
The post Jury Convicts Physician for Misappropriating $ 250K From COVID-19 Relief appeared first on AAPC Knowledge Center.
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program final rule, released Nov. 1, allows Part B physician payment for behavioral healthcare, cancer screening, and dental care. But while the Centers for Medicare & Medicaid Services (CMS) continues its focus […]
The post 2023 Medicare Physician Payment Policies Finalized appeared first on AAPC Knowledge Center.
Medicare Advantage Organization denials raise concerns that private insurers are maximizing profits at the expense of patients. Every year, tens of thousands of people enrolled in private Medicare Advantage (MA) plans are denied necessary care that should be covered under the program, federal investigators concluded in a report published on April 27. The Department of […]
The post MA Plans Wrongly Deny Needed Care, Physician Payments appeared first on AAPC Knowledge Center.
The 2022 MPFS final rule promotes greater telehealth utilization and boosts payment rates for vaccine administration. The Centers for Medicare & Medicaid Services (CMS) has finalized 2022 payments and policies under the Medicare Physician Fee Schedule (MPFS). The rule includes updates to payment rates for physicians and other healthcare professionals for calendar year (CY) 2022; […]
The post CMS Releases 2022 Physician Fee Schedule Final Rule appeared first on AAPC Knowledge Center.
Illinois Physician Settles Case Involving False Claims
The settlement agreement resolves allegations that Dr. Tolitano submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Tolitano submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service.
The post Illinois Physician Settles Case Involving False Claims appeared first on The Coding Network.
Texas Physician and Practice Settle Case Involving False Claims
The settlement agreement resolves allegations that Dr. Robbins submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Robbins submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service.
The post Texas Physician and Practice Settle Case Involving False Claims appeared first on The Coding Network.
New Mexico Physician and Practice Settle Case Involving False Claims
The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Reddy submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service.
The post New Mexico Physician and Practice Settle Case Involving False Claims appeared first on The Coding Network.
How to succeed as a credentialing specialist.
The post Inside the World of Physician Credentialing appeared first on AAPC Knowledge Center.