CPT copyright 2008 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Amy Mowles, president and CEO of Mowles Medical Practice Management in Edgewater, Md., offers the following advice on negotiating reimbursements with commercial…
ASC Coding, Billing & Collections
New laws in Idaho and Illinois give patients the right to independent review of health insurance benefit denials, accordant to a report by American Medical News.
AdvantEdge Healthcare Solutions, one of the nation's leading providers of medical billing and practice management services, has acquired Medical Account Services, the premier anesthesia billing company throughout Ohio, according to an AHS news release.
It is annoying and very time-consuming, but it is very important to appeal denied claims. Insurance companies count on providers not pursuing appeals — only 35 percent of providers do. Yet, many times appeals can be successful, so they're worth…
It is illegal in a number of states for physicians to pay a percentage of collected fees to billing and collections companies, a practice known as "fee splitting," but the prohibition has been widely ignored and percentage-payment arrangements have flourished,…
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The Centers for Medicare and Medicaid Services has issued Transmittal 617, which revises the use of medically unlikely edits, specifically modifier -55 (postoperative management only).
Q: If a doctor has ASC(A) order an IOL but then takes the IOL to ASC(B) for the surgery, can ASC(B) pay ASC(A) back the invoice price for the IOL without any Stark or billing issues?
The Centers for Medicare and Medicaid Services have issued corrections to its list of 2010 HCPCS codes, including new approved procedures for ASCs, description changes and coverage changes, which went into effect Jan. 1, 2010.
Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly newsletter. Sign-up to receive this newsletter by clicking here. CPT copyright 2008 American Medical Association. All rights reserved. CPT…
The Department of Health and Human Services is planning a national claims database that would include information from Medicare, Medicaid and private payors, according to a report in American Medical News.