September 2013

It’s Time to Get Serious About ICD-10

Posted on September 26, 2013 By Michael Sculley

The transition from ICD-9 to ICD-10 is a major one, and many practices continue to put off preparation. Some believe CMS will extend the October 2014 deadline, while others are occupied with other issues. At this point, it seems certain the deadline will not be extended. Because of the extension al...

Practice Management

10 Frequent Errors Generated by New Medical Coders

Posted on September 24, 2013 By Michael Sculley

To err is human, wrote Alexander Pope. Of course, when it comes to medical billing, we all want as few “errs” as possible. It is important for all new coders and billers to be trained in your office setting and understand your protocols. Let’s take a look at the top mistakes new coders make so...

Practice Management

HIPAA Enhancements: How They Affect Your Practice

Posted on September 19, 2013 By Michael Sculley

Although HIPAA has been in effect for 24 years, confusion remains about some aspects. The passing of the HITECH act in 2009 added a few wrinkles and brought this issue back to the forefront. Do you know the difference between HIPAA and HITECH? The Health Insurance Portability and Accountability Act(...

Practice Management

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 2

Posted on September 17, 2013 By Michael Sculley

We discussed the first five most common medical coding and medical billing mistakes that cause claim denials in our previous post. Here are the next five common reasons claims are denied. 6. Duplicate billing. Many times, a duplicate bill is the result of human error. They can result from resubmitti...

Practice Management

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 1

Posted on September 12, 2013 By Michael Sculley

The American Medical Association states, “medical coding errors fall into the very broad categories of fraud and abuse.” While the latter regards false representative as a mistake, it still has severe consequences. On the other hand, the former means a conscious action taken in order to ...

Practice Management

NUCC Announces Form 1500 Changes in Anticipation of ICD-10

Posted on September 10, 2013 By Michael Sculley

To accommodate ICD-10 reporting needs, the National Uniform Claim Committee (NUCC) changed Version 02/12 of the 1500 claim form. To begin with, payers will begin receiving and processing paper claims on the revised form on January 6, 2014. Further, dual form use will be in effect through March 31 an...

Practice Management

5 Things to Look for in a Medical CRM System

Posted on September 5, 2013 By Michael Sculley

As a provider with a small or mid-sized practice, you may think you don’t need a CRM system. For one thing, CRM stands for customer relationship management, and you have patients, not customers. Second, most CRMs are designed for large, complex businesses with a sales force. But there are new syst...

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It’s Time to Get Serious About ICD-10

10 Frequent Errors Generated by New Medical Coders

HIPAA Enhancements: How They Affect Your Practice

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 2

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 1

NUCC Announces Form 1500 Changes in Anticipation of ICD-10

5 Things to Look for in a Medical CRM System

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