Monthly Archives: February 2019

Using Modifier 59 (Distinct Procedural Service) Effectively

When used appropriately, coding modifiers help practices code appropriately and collect revenue to which they’re entitled. The key here is -when used appropriately. A modifier should never be used just to get higher reimbursement or to get paid for a … Continue reading

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New Medicare Enrollment Application (For Physicians and Non-Physician Practitioners)

CMS received approval for a new Medicare Enrollment Application for physicians and non-physician practitioners (CMS-855I dated 12/2018). Many changes are minor; the major ones reduce provider burden: Eliminated reporting for advanced diagnostic imaging, Clinical Laboratory Improvement Amendments number, and the … Continue reading

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10 Tips to Reduce Claim Rejections

A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be corrected. A rejected claim may be the … Continue reading

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Have Your Patients Got New MBI (Medicare Beneficiary Identifier)?

The Centers for Medicare & Medicaid Services (CMS) is mailing the new Medicare cards with the MBI in phases by geographic location. There are 3 ways you and your office staff can get MBIs: Ask your Medicare patients: Ask your … Continue reading

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Improved Acute Myocardial Infarction (AMI) Guidelines

ICD-10-CM implementation brought several significant changes to the OCG (Official Guidelines for Coding and Reporting) with regard to Chapter 9 (Diseases of the Circulatory System) I.C.9.e Acute myocardial infarction (AMI). Preparing yourself for coding updates based on MI type is … Continue reading

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3 ways for health care providers to get patients’ MBIs

Medicare has come up with a new revelation this time. It is taking steps to remove Social Security numbers from Medicare cards. The initiative from Medicare, the Centers for Medicare & Medicaid Services will help prevent the fraud, fight identity … Continue reading

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2019 NCCI update impact on medical billing and coding

NCCI – National Correct Coding Initiative promotes the correct coding methodologies. Furthermore, it controls inappropriate coding leading to wrong payments in Part B claims. The CMS annually updates the National Correct Coding Initiative Coding Policy Manual for Medicare Services. The … Continue reading

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