#1: Start- decide you are going to do it, and follow through! Don’t avoid it just because it can seem intimidating. If you don’t have the resources in house to accomplish it, outsource it. #2: Do your homework. Start by reviewing the numbers and your payer mix. Calculate revenue per visit and CPT comparisons. #3: Decide which companies to start …
Claims Denial Management: Take the Pain Out of Appeals
Claims Denial Management: Take the Pain Out of Appeals – By: Stephanie Thomas, CANPC Tips to take the pain out of appealing denied medical claims Denials can be overwhelming, here are some tips to help know if you need to appeal and the process to get it done effectively. Tip #1: Understand the denial Verify the information initially provided on …
Educational Series: Tips to Help you Succeed – Part 2
Have you started on MIPS & MACRA? By: Stephanie Thomas, CANPC Have you started on MIPS & MACRA? Avoid getting a negative 4% payment adjustment from Medicare and START NOW! What is the Quality Payment Program? The Quality Payment Program implements provisions of the Medicare Access and CHIP Reauthorizations Act of 2015 (MACRA) and improves Medicare payment to focus care quality …
Educational Series: Tips to Help You Succeed – Part 1
COMMON MISTAKES WHEN CODING FACET INJECTIONS by Stephanie Thomas, CANPC Mistake #1: Not Using Imaging Imaging guidance and localization for facet injections is included in the code descriptors and is required. Fluoroscopy and CT guidance are not separately billable. If ultrasound guidance is used, use category three codes. Mistake #2: Reporting bilateral injection rather than an add on code for …