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Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Preventive Visit or Problem Visit: Same-Day Billing Rules That Hold Up
January and February fill the schedule with annual physicals and wellness visits, and half of them turn into problem visits. Here is how to code both on the same day, what Medicare covers and does not, how to document the split, and how to tell patients before they get a bill.
How to Load Payer Fee Schedules Into Your Billing System and Keep Them Current
You cannot find underpayments against a fee schedule you never loaded. Here is how to get contracted rates out of the contract and into the system: the fields that matter, the Medicare-percentage trap, a load and test sequence, and the calendar that keeps the schedules from going stale.
Telehealth Billing After the PHE Ended May 11, 2023: What Continues, What Ended
The COVID-19 public health emergency ended yesterday after more than three years. Most Medicare telehealth flexibilities continue through December 31, 2024 under the Consolidated Appropriations Act, 2023, but several things changed on May 11. Here is the sorted list and how to bill telehealth for the rest of 2023.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.