Category Archives: What We’re Reading

What We’re Reading – How to get your behavioral health codes right

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (DSM-5, in medical parlance) is a handbook, if you will, to assist in making diagnostic judgments in cases of mental disorders.  The manual classifies conditions and provides diagnostic criteria in … Read Full Post

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What We’re Reading – Improve Clinical Documentation for ICD-10

Your administrative staff has probably hounded you for years to improve your documentation.  With the ICD-10 transition around the corner on October 1, 2014, clinician documentation will be more important than ever.  The code sets from have expanded from 14, … Read Full Post

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What We’re Reading – OSHA Proposes Publishing Worker Injury Data

In 2012, nearly three million people were injured at work, according to The Bureau of Labor Statistics.  A proposed law, announced on November 7th , would require businesses with more than 20 employees to annually file their OSHA 300 form … Read Full Post

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What We’re Reading – How to Manage an OSHA Inspection

Does your company have a process for if and when any government agency shows up for an inspection?  If you don’t, we suggest you add this to your priority list for the end of this year because many regulatory agencies … Read Full Post

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What We’re Reading – Medicare E/M claims for new patients

Beginning on October 1, 2013, CMS will use a new claim edit to determine if more than one initial visit code was billed for a Medicare beneficiary within a three year period.   This edit will also identify claims where established … Read Full Post

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What We’re Reading – Improve Medical Practice Staff Communication Skills: 5 Best Practices

A patient’s first contact with your office is by phone, whether scheduling an appointment and/or requesting information.  If your staff doesn’t have the proper communication skills to create rapport with that patient, established or new, you could be in jeopardy … Read Full Post

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What We’re Reading – The Power of Outsourcing in Your Medical Practice

Do you ever feel that there aren’t enough hours in the day to get everything done?  Join the club!  These days, more and more office managers and/or administrators express that despite supposed electronic efficiencies, they are drowning in all the … Read Full Post

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What We’re Reading – Bilateral procedures and MUEs

Are you stumped on when to use modifier 50 instead of modifiers LT and/or RT for Medicare? Modifier 50 is defined as a bilateral procedure which is performed on both sides of the body in the same operative session or … Read Full Post

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What We’re Reading – Manual update regarding the repayment of overpayments

If your business has ever received a demand letter from Medicare regarding overpayments, your first thought has probably been, “How am I going to pay this back while keeping my business afloat?”  There is good news!  Effective September 3, 2013, … Read Full Post

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What We’re Reading – Preventing duplicate claim denials

Are you experiencing more claims denials as duplicates recently?  Make sure that your billing staff and/or billing company are aware that effective July 1, 2013, The Centers for Medicare & Medicaid Services (CMS) instituted new claim edits.  All claims received … Read Full Post

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