Every office encounters patients that need care, but can’t afford to pay for the visits. You want to do something, but do you know the right thing to do?
To Bill or Not to Bill for Family Members
There is a simple question you should be asking yourself when thinking about billing for family members. Let’s take a dive and learn who the players are and whose rules we should be playing by in order to protect the practice.
How Do You Measure Up?
As a kid, it was fun to get your straw chosen at the fair. In practice, when our straw is chosen by a payer we often are inflicted with instant fear and bewilderment as to why it is happening.
Have You Been Excluded?
Ever have a claim denied that left you scratching your head? The remittance advice referenced your diagnosis codes, but all of the codes are valid. But are the codes valid together? Understanding Excludes 1 and Excludes 2 can help prevent unnecessary claim denials.
Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020.
End of Day Procedures
One of the most important procedures in keeping your financial system running smoothly is to make sure that each penny and service is accounted for at the end of the day. Don’t put until tomorrow what you should do today.