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5 Critical Things to Know Ambulatory Surgery Center Billing Services

Harold Gibson

Ambulatory surgical centers (ASCs) are some of the fastest-growing medical services today. Unlike physician- surgeon or hospital billing, there are some things that you as well as your billing department need to know before filing a claim for services rendered through an ASC. Medicare often has different guidelines than some payers, for one thing, and the payers themselves often differ regarding medical necessity, approved procedures, or other filing requirements.

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Topics: Ambulatory surgical center billing

Providers Need to Know About Proposed E&M Codes Changes in 2019

Patrick Dougherty

In July 2018, the CMS announced its proposed changes to the Medicare Physician Fee Schedule for 2019. Included with the other updates are major changes to the use of certain codes for evaluation and management (E/M) levels 99201 – 99215. After following Medicare contractors for the past several years, as well as receiving feedback of physician concerns about streamlining outdated E/M documentation guidelines, CMS decided to make changes in five main areas:

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Topics: E&M Code

Should Your Practice Offer Allergy Treatment as an Ancillary Service?

Patrick Dougherty

Many patients would undoubtedly welcome the ability to have multiple conditions, including troublesome allergies diagnosed and treated through the same set of providers, rather than having to travel here and there to one doctor for testing and perhaps another for treatment.

If you’re an Ear, Nose and Throat (ENT) physician, or practice Family Medicine, Internal Medicine or Pediatrics, this might be a good add-on service to offer. For those meeting the criteria and wondering how to begin, here are a few tips as well as some basic coding information to get your practice (and billing department) off to a good start.

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Topics: Allergy Treatment

Helpful Tips to Prevent Denials in Nephrology Billing

Harold Gibson

With continued changes to codes and rules, professional coders and physicians alike often have a tough time navigating the complexity of nephrology billing and coding. After the significant changes that came with ICD-10, CPT codes and E&M guidelines have continued to change, leaving practices dealing with additional requirements from payers and required specificity. Unfortunately, small mistakes can add up to costly denials, so it’s crucial to learn how to avoid the most common nephrology billing and coding errors and discover some of the best tips for preventing denials. 

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Topics: Nephrology billing, Dialysis billing

Cardiology Billing and Coding – 2019 Changes and Best Practices

Harold Gibson

Cardiology practices, like other specialty practices, offer a variety of different services, including blood work, invasive procedures, and other interventions to patients in a variety of different settings. The charges for services are dealt with differently depending on where the services were provided – in same day surgery centers, in a hospital setting, or in the doctor’s office. Accurate Cardiology billing and coding require an excellent working knowledge of current coding rules, cardiology specific codes, and compliance standards. Even small mistakes in cardiology billing and coding can result in denials that lower your practice revenue. Get ready to reduce errors and improve practice revenue in 2019 by learning more about the coming changes and discovering some of the best practices and tips for cardiology billing and coding.  

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Topics: cardiology billing

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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