July’s Coding Answer
Coding Corner Question
July’s Coding Challenge
Avoid Coding & Billing Nightmares
Imagine getting a demand letter from a carrier that states your practice has incorrectly billed a procedure for the last year. To make matters worse, the carrier is asking you to return an overpayment, which amounts to thousands of dollars, and they want the full overpayment check within 45 days. Believe it or not, this scenario happens to rheumatology practices across the country.
Audited by a Recovery Auditor Contractor—Now What?
The word audit seems to put fear into the hearts of many physician practices across the country—and it shouldn’t. If you are prepared for an audit, your practice will run more smoothly from both a financial and personnel standpoint.
Rheumatology Practice Pearls: Appealing an Audit
The appeals process for a Medicare or Recovery Audit Contractor audit is a multistep process with filing deadlines attached to each level.
Tips on Audits
”Recovery Audit Contractor” (RAC) is a term that every healthcare professional and staff member who deals with Medicare needs to know.
Consultation or Referral? That Is the Question
One of the most troublesome coding decisions is determining whether a visit is a consultation or a referral. To avoid the hassle of incorrect coding, one must first understand the difference between a consultation and a referral.