June 14, 2024 | By: Jodi Beebe, CPC, COBGC, CPMA, CPB One physician’s group quest for revenue cycle greatness… As payer rules and edits become increasingly strict, finding ways to improve coding accuracy and foster a corporate culture of compliance is crucial. A significant return on investment exists for maintaining an excellent revenue cycle within any…
May 24, 2024 | By: Lindsey Chatelain, CPC, CRC If you have ever been the subject of a payer audit, you know it can be daunting. Not only does it delay payment and increase the number of records requests your staff has to process, but getting off the audit is also difficult. It is achieved only…
April 12, 2024 | By: Tammy Welch, CPMA Eye allergy, also called allergic conjunctivitis, is quite common. They occur when the eyes react to something that irritates them (called an allergen). The eyes produce a substance called histamine to fight off the allergen. As a result, the eyelids, conjunctivitis, and eye allergies do not spread…
April 19, 2024 | By: Beth Schleeper, COC, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CANPC, CEMA, CMCS, CMRS AHHHHHCHHOOO! The sound of Spring and Allergies is in the air. If you are like many of us, you have these pesky critters year-round. So how do we report for the services and supplies?…
May 10, 2024 | By: LaDonna D. Brown CPC, CPMA, CEMA When I was asked if I would like to be a contributor to NAMAS May articles, my first thought was absolutely. This is particularly timely as May is Mental Health Awareness Month, a crucial period for coders and auditors to reflect on the importance…
March 22, 2024 | By Carol Ittig, MBA, CMPE Introduction: In the fast-paced world of healthcare billing, clean claims are the key to maximizing revenue and minimizing headaches. A significant contributor to claim denials is inaccurate patient eligibility information. This article explores a multi-step approach to patient eligibility verification, empowering your team to submit clean…
March 8, 2024 | By Ashley Morgan, Esq. of Liles Parker PLLC A common issue that arises from a growing practice is how to structure the business to remain compliant while reducing potential liability concerns. Many times, practices grow and continue to operate in the same manner as they did when they only had one…
February 2, 2024 | By Christine Hall, Senior Consultant, CHC, CPC, CPB, CPMA, CRC, CEMC, CPC-I Certified Instructor Navigating Healthcare Claims and Audits for Purchased Diagnostic Testing: In the complex world of healthcare, accurate reporting of services is crucial for ensuring quality patient care and fair compensation for medical providers. One significant aspect of this…
September 22, 2023 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Let’s get uncomfortably honest. With continued reimbursement cuts, like this year’s $9-12k per provider E/M cut, organizations cannot sustain 100% coding validation. Now, let’s get brutally honest. This is compounded by a lack of truly skilled and knowledgeable coders looking to fill the…
May 19, 2023 | By Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM Unless you have been climbing Mount Everest alone with no cell or Wi-Fi services for the past few months, I am certain you have heard of ChatGPT and its use as a form…