Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
MIPS 2024 Mid-Year Checkpoint: What to Review Before the Second Half of the Year
The 2024 MIPS performance year is half over, the threshold to avoid a penalty is 75 points, and the penalty for missing it is up to 9% of 2026 Medicare Part B payments. Here is the review to finish in July: eligibility, the 180-day Promoting Interoperability window, quality data and the mistakes that cost points.
MIPS 2024: What Changed and What Small Practices Should Set Up Now
The 2024 MIPS year keeps the 75-point threshold but raises data completeness to 75 percent, extends the Promoting Interoperability period to 180 days and adds four MVPs. Here is what each change means for a small practice, plus the decisions to make before the end of March.
ICD-10-CM FY 2024 Is in Effect: 395 New Codes and the SDOH Additions to Know
The FY 2024 ICD-10-CM update took effect October 1, 2023, with 395 new codes, 25 deletions and 13 revisions. Nearly half the additions are external cause codes, and the social determinants of health codes grew again. Here is what changes for office coding and how to check the first two weeks of claims.
ICD-10-CM April 2023 Update: 42 New Codes for Social Needs and Financial Abuse
The April 1, 2023 ICD-10-CM update added 42 diagnosis codes, mostly for health-related social needs and for financial abuse, and deleted seven. Here is what was added, why the Z codes matter more than they pay, and the four systems to update before claims start rejecting.
Medicaid Continuous Enrollment Ends March 31: What Practices Should Do in April
Three years of guaranteed Medicaid coverage end on March 31, 2023, and states can begin disenrolling people on April 1. Millions will lose coverage, many for paperwork reasons. Here is the timeline, the denials to expect, and the front-desk and billing changes to make before the first terminations land.
Page 5 of 5 · 41 articles
Want this level of attention on your own revenue cycle?
The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.