Tag Archives: physician medical billing

The Impact of QPP on Cardio-Oncology Care

Many professionals or experts working in the healthcare IT industry, policy specialists and new industry stakeholders continue to investigate into the 1,473-page proposed “rule” released by the CMS or Centers for Medicare and Medicaid Services in July 2018 that provides … Continue reading

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Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Governor Phil Murphy on August 30th, 2018 signed a bill that ended the decade-long battle to address the issue of the cost and impact of expensive medical bills for residents in the state. In a statement, Gov. Murphy said, “Today, … Continue reading

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Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, … Continue reading

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OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice … Continue reading

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Prevent medical billing claim denials in Oncology Practice in 2018

Medical billing is seeing a new string of changes in regulating the medical billing and coding of the procedures and diagnostic.  In 2017, different medical challenges were faced by various specialties with the foremost one being the shift of Medicare … Continue reading

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Top Dermatology CPT Code Updates

Proper, adequate coding and documentation has become an increasingly important aspect of modern medicine, especially with the prevalence of electronic health records (EHR). While electronic records provide some documentation benefits to the physician, such as legibility and ease of inter-physician … Continue reading

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