Full Disclosure is in Demand and a Good Practice

In New York, physicians and hospitals are now required to follow several new disclosure laws in regards to providing care to patients who are out-of network. The changes took effect April 1 and apply to Commercial plans and some Medicaid plans, but not Medicare plans. To read more visit our Biller's Blog.

Docs Dodged One Bullet and Now Have to Bite One

Big news from the Senate this week: The 21% pay cut linked to the SGR was repealed… this definitely was a dodge the bullet scenario.  Especially since the vote came on the last day before CMS was set to release payments for claims that have been on hold since April 1, 2015.  Although some claims may still be processed at …

Full Disclosure is in Demand and a Good Practice

Announcement: Hillary Clinton made one this week she is running for president.   Confessions: These are an integral part of the Catholic faith.     Discovery Channel: A wonderful source for valuable educational programming.   Those are all synonyms for disclosure.    In New York, physicians and hospitals are now required to follow several new disclosure laws in regards to …

Biller’s Blog Special Edition: Correcting Invalid Payer Information

In a perfect world, we would always have the most accurate payer information at the time of service/date of submission. Even if we check eligibility on each visit, insurance policies can be terminated retroactively or payers can just be slow to update their eligibility files.  There are two usual scenarios.  Let’s look at both and the steps to properly correct …

I Tested Myself on Converting Common Radiation Oncology Diagnoses to ICD-10

In a recent newsletter from CMS, I came across an interesting notice.  A new Remittance Advice Remark Code (RARC) N742 will begin to show up on your Medicare remittances sometime in April.  This code is being implemented ahead of what seems to continue to be the official effective date for ICD-10, October 1, 2015.  You may have even already seen …

Medicare Denials: The most common and how to avoid them

Thank you for your interest in our white paper entitled, Medicare Denials:  The most common and how to avoid them. Medicare denials can be prevalent and are often difficult to overcome.  In this white paper, we take a look at some of the most common denial reason codes and steps you can take to avoid them. Please complete the form …