For a provider of healthcare services, payer audits are always a possibility. Both government and private payers consistently monitor providers to prevent fraud, overpayment, and improper billing or coding procedures. Audits can be nerve-racking and intimidating, even if a provider is billing correctly. Improper billing can lead to civil and criminal sanctions. To alleviate some…
When it comes to billing, there are plenty of myths and erroneous sayings used by consultants and payers to keep you guessing and make your head spin. Billing seems endlessly mystical, and it is important that physician practices stay as informed as possible to be effective and efficient. With today’s financial situation, it is even more important that rheumatology practices know the rules of billing—This will save you time and money in the long run.
The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…
What to consider when deciding whether to delegate claims billing in-house or to contract with an outside company