MEDICAL BLOG

Show All

E-Health is a Big Deal in 2020

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-09-16

The new 2020 CPT codes are on the way! We are going to see 248 new codes, 71 deletions, and 75 revisions. Health monitoring and e-visits are getting attention; 6 new codes play a vital part in patients taking a part in their care from their own home. New patient-initiated ...

Read More

So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-08-21

You know how to find a procedure code and you may even know how to do the procedure, but where does the reimbursement come from?  It seems to be a mystery to many of us, so let's clear up some common confusion and review some of the main reimbursement systems.  One of the ...

Read More

Attention Chiropractors!

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-08-20

Find-A-Code has created a TOPIC page specifically for Chiropractors. Check it out! We have simplified your search with Articles, Tips, Webinars, and Tools all in one place for your convenience. Be sure to visit us today. Simply go to Findacode.com then hover over TOPICS at the top of the page, then select Chiropractic. ...

Read More

Are You Aware of Medicare Advantage Plans Timely Filing Rules?

Aimee Wilcox
2019-08-20

The Medicare Fee for Service (FFS) program (Traditional or Original Medicare) has a timely filing requirement; a clean claim for services rendered must be received within one year of the date of service or risk payment denial. As any company who has billed Medicare services can attest, the one-year timely filing ...

Read More

Understanding Payment Indicators

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-08-19

Understanding how payment works with Medicare payment indicators and the impact a modifier has on payment is vital to pricing. Even if you are not billing Medicare, most carriers follow Medicare's policies for participating and non-participating rules.  Here is an article from Regence on their policy statement, describing the rules ...

Read More

Medical ID Theft

Namas
2019-08-16

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

Read More

Healthcare Common Procedure Coding System (HCPCS)

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-08-13

There are three main code sets and Healthcare Common Procedure Coding System (HCPCS), is the third most common code set used. They are often called Level II codes and are used to report non-physician products supplies and procedures not found in CPT, such as ambulance services, DME, drugs, orthotics, supplies, ...

Read More

Will Medicare Change Their Rules Regarding Coverage of Services Provided by a Chiropractor?

Wyn Staheli, Director of Research
2019-08-13

Two separate pieces of legislation introduced in the House of Representatives (H.R. 2883 and H.R. 3654) have the potential to change some of Medicare’s policies regarding doctors of chiropractic. Find out what these two bills are all about and how they could affect Medicare policies.

Read More

The OIG Work Plan: What Is It and Why Should I Care?

Namas
2019-08-09

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

Read More

5 Ways to Minimize HIPAA Liabilities

BC Advantage
2019-07-12

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

Read More