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Facing Challenges Uniting Providers, Coders, and Compliance Auditors?

Are you facing challenges uniting your providers, coders, and compliance auditors to navigate E/M coding guidelines accurately? You're not alone....

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Is Volume Decline Hurting Your Medicare Reimbursement?

Is Volume Decline Hurting Your Medicare Reimbursement? Explore Volume Decrease Adjustment (VDA) Opportunities!

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MAC Desk Review Checklist

Preparing for a MAC (Medicare Administrative Contractor) desk review is essential to ensure accurate cost reporting and compliance. Here are some...

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The Appeals and Review Process for Claims

Palmetto GBA the MAC for Jurisdiction J Alabama, Georgia and Tennessee recently published some helpful information defining appeals and the review...

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CMS' Latest MLN on Telehealth Services

CMS released it’s latest MLN on telehealth services in February of this year. The additions include the new codes allowed for CY2024, the new and...

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The Value in Outsourcing Your Reimbursement Department

The shortage in finance and reimbursement candidates is not the only reason that a healthcare provider should consider outsourcing its reimbursement...

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Principal Illness Navigation

In November 2023, CMS released four new codes (G0023, G0024, G0140, and G0146) in the CY24 Physician Fee Schedule Final rule for Principal Health...

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Important Benefit for Medicare Dependent Hospitals and Sole Community Hospitals

The Volume Decrease Adjustment (VDA) is an important benefit to assist Medicare Dependent Hospitals (MDH) and Sole Community Hospitals (SCH) when...

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2024 Social Determinants of Health Codes

New for 2024 from CMS are the Community Health Integration (CHI) Codes. This is a new code set (G0019 and G0022) released from CMS in the Final Rule...

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Additional Revenue Opportunity Coming in 2024!

Do you remember back in 2021 when CMS first proposed to implement G2211, office/outpatient E/M visit complexity add-on, but the effective date was...

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Billing Company Audits

If you contract with a medical billing company to manage your accounts receivable, do you audit and monitor their work?

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Rural Emergency Hospital Designation

It has been a year since the new Rural Emergency Hospital (REH) designation was available to eligible facilities. Almost 20 rural hospitals have...

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