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1. Determining qualifications/credentials What important qualifications are needed in reimbursement cycle employees? Based on the position, develop a checklist of what you look for in a coder, payment poster, etc.

In today's reimbursement climate, getting paid accurately and promptly is a difficult and time-consuming process. Continually changing government rules and regulations and more complex payor requirements definitely challenge your staff in performing their duties. In addition to this, today's reimbursement…

1. Lumbar fusion surgeries. Medicare will not cover ambulatory spine cases, says David Abraham, MD, an orthopedic spine surgeon with Reading (Pa.) Spine and Neck Center. In addition to insurance issues, lumbar fusion cases are sent to the hospital when…

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Bayou Region Surgical Center, in Thibodaux, La., is a multispecialty ASC that operates as a 50-50 partnership between physician investors and a subsidiary of the local community hospital, Thibodaux Regional Medical Center, and is managed by ASD Management. Here's how…

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