How The CMS Final Rule Will Affect Orthopedic ASCs: 5 Key Notes
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On Nov. 2, CMS received the 2018 final payment rule, providing a 1.2 percent increase in ASC reimbursement next year. The final rule also addressed several issues pertaining to orthopedic procedures in ASCs, including total joint replacements and spine
procedures....
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How To Fix Common Billing Mistakes
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Billing can be a frustrating part of physicians’ practices at a time when reimbursement is declining and administrative burdens are increasing on physicians and hospital systems. Adrian Velasquez, Wisconsin based co-founder and CEO of Fi-Med, a predictive analytics provider that aims to help physicians and medical systems improve cash flow and reduce
compliance risk...
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ICD-10 Coding of Parkinson’s Disease: Code Carefully
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As a neurodegenerative disease of the brain, which impacts an individual’s motor function, Parkinson’s Disease (PD) is the most common neurological disorder, affecting approximately one million people in the United Status. It is estimated that approximately 60,000 Americans
are...
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Why Does The U.S. Spend So Much More On Healthcare? It's The Prices
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Dr. John Cullen's four-physician family medicine practice in Valdez, Alaska, employs three full-time staffers who work on insurance and patient billing. A fourth full-timer focuses on obtaining prior authorizations from nine private and public insurers. Even then, Cullen and his partners often must call and write letters to convince insurers to
approve coverage or pay claims.
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New Medicare Cards Could Spell Trouble for Doctors, Seniors
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New identification cards the government is sending out to all Medicare recipients in an effort to deter fraud may actually end up encouraging scammers and hindering physician billing, according to sources contacted by Bloomberg Law. The new cards haven’t been mailed out yet but seniors have already reported potentially fraudulent contacts, including
requests for...
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