Medical billing for dental offices and the 2017 CDT updates: What you need to know
Published: Wed, 09/28/16
Medical billing for dental offices and the 2017 CDT updates: What you need to know
Do you bill medical insurance for medically necessary dental procedures performed in your office? If you do, it’s important to understand the changes to the CDT codes for 2017.
Aggressive Tactics by Third Party Auditors Should Make Providers Vigilant
The goal was to avert fraud, waste, and abuse. We all support that – we collectively pay for Medicare, and who likes throwing their money away? Let’s review the ideal: the patient receives excellent medical care, the provider does...
Is Cyber-Security Insurance Right for Your Practice?
2015 was a notorious year for cyber attacks in the healthcare industry, with more than 100 million health care records compromised in a single year. So far 2016 looks like it might be as bad or worse, once the Department of Health and Human Services' (HHS) Office of Civil Rights (OCR) gets all the breaches
posted.
Downgrading DRGs: A New York Epidemic Out of Control
Do you find that your facility’s DRGs are being downgraded by third-party payers that are re-diagnosing patients? Are they also discounting the coding of suspected and possible diagnoses? You’re probably not alone. Sonya Manuel, a senior health information management (HIM) consultant and DRG coordinator for Jzanus Consulting in New York, tells RACmonitor that the battle with
third-party auditors has been going on for years.
The recent buzz surrounding changes to the ICD-10-CM guidelines have many wondering why we appear to be taking a step backward from quality instead of elevating standards with language indicating that physicians don’t need to document to meet clinical indicators or support conditions with their
documentation.
