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Prepare for Recovery Audit Contractors as they come online

Q: What can we do to prepare our practice for the RAC audits? ... not yet operational) and matching that information to any patterns of denied claims within their own practice or facility.
June 2009

GASTROENTEROLOGY “Probably the biggest negative is that it car-ries ...

Thereport stated,“ In the first year of the med-ical home contract, Aetna’s 5,650 membersbeing treated by WESTMED [group practice]physicians saw a 35 percent reduction inhospital admissions and ... Practice Rx continued from page 7. INT0914_FINAL 8/20
August 2014

Medicare, many insurers announce coding rules for H1N1

The federal government will pay for H1N1 vaccine, and most large insurers are planning to pay only for its administration. Find out which codes to use and with which insurers.
November 2009

Transitional care management services change in 2013

Learn how to recoup the increased reimbursement offered in the 2013 Medicare Physician Fee Schedule by using two new codes and modifications.
January 2013

Documenting ICD-10-CM: What's new?

That specificity will be critical for efficient claims processing, and learning what is needed may require some time and practice. ... practice. It may also be helpful to begin requesting a testing plan schedule from your vendor.
April 2015

ICD-10 doesn't have to be intimidating

It's only 1 year away. To assess whether your practice is on track for implementation, please check your progress against the ACP Physician and Practice Timeline, online.
November 2013

CMS delays ICD-10, offers new overpayment options

The Centers for Medicare and Medicaid Services heard the primary care community's complaints and have delayed ICD-10 implementation until further notice. The agency did, however, launch several new tactics in order to collect overpayments.
April 2012

Answering questions about coding for ACA-mandated services

ACP's practice management staff answers questions about coverage of and coding for preventive services mandated by the Affordable Care Act.
March 2014

Avoid the most common claims errors in Medicare billing

The practice's next steps are to review the claim carefully, research the patient record to determine the missing information, and then resubmit the claim in a timely fashion. ... Review your practice's billing process to avoid automatic resubmissions of
April 2013

Accurate coding of the Initial Preventive Physical Examination

Even though it is not a requirement, it would be good practice to use some documentation, such as an Advance Beneficiary Notice, to notify patients that they will need to pay
October 2014

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