February’s Coding Answer
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.
Medical Necessity—What Does it Mean?
Almost every physician in this country has heard this phrase, “denied as not meeting medical necessity for the service performed.” What does this mean? How does a practice document medical necessity? Not knowing the answer to these questions can greatly affect a rheumatology practice’s financial well-being.
Coding Corner Question
January’s Coding Challenge
Coding Corner Answer
January’s Coding Answer
Coding Corner Question
December’s Coding Challenge
Coding Corner Answer
December’s Coding Answer
On the Edge with Medicare: Will Cuts Drive Rheumatologists to Opt Out?
Will cuts drive rheumatologists to opt out?
Practice Page: What PQRI Means to Rheumatologists
The Physician Quality Reporting Initiative (PRQI) is a voluntary quality reporting program initiated by the Centers for Medicare and Medicaid Services (CMS) in 2007. CMS provides bonus payments to eligible providers who successfully report on applicable PQRI measures. For 2010, rheumatologists who successfully participate in PQRI can earn an incentive payment of 2% of the…
Coding Corner Question
November’s Coding Challenge
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