This tutorial provides tips and tricks for the clinic to master the verification process. The staff member will learn how to use the verification template for gathering information that can assist with reimbursement. We even provide a peek at the many resources a clinic can find online via payer portals that help the clinic avoid…
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If you bill insurance, the Medical Review Policy (MRP) is one of the most important documents for successful billing and reimbursement. In this quick tutorial you will have the opportunity to view the process of tracking these documents online.
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Download Reference Documents Third-party payers provide information on their website to assist providers with meeting the payer’s recordkeeping expectations. It is prudent to know the medical review policy and other administrative policy that relate to the payers with whom the practice does business. Included here are two samples from two different payers that outline guidelines…
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Meet the Requirements Non-Traditional therapies, such as cold laser, dry needling, acupuncture, and others, can do great things for patients. These may be deemed “experimental, investigation, or non-proven” by third-party payers. This may seem in contrast to patients who come to the office specifically for these therapies. Other times, doctors may be prescribing them, and…
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Reference Documents It’s critical to know the rules of the game that you are sitting down to play when billing third-party payers and dealing with CPT® coding. In this section, we’ve provided three excellent reference documents that outline more information about the CMT codes, from three different perspectives. Note the Job Aide from Medicare that…
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Tips for Coding ICD-10 Diagnosis If you are responsible for reading documentation and finding the correct ICD-10 code, are you always confident that you have selected the correct code? If the answer is no, you are not alone. Here are some tips that we have found useful: Know the rules- Make sure you have read…
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