Using EHR Medical Coding Shortcuts May Put Physicians at Higher Audit Risk and Increase Billing Denials

Medical coding errors can cause considerable damage to both patients and providers in the form of inaccurate medical bills and lost revenue for the medical office. The best practice is to employ well-trained and qualified staff to ensure that correct claims are submitted for reimbursement the first time. If the devil is in the details,…

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$68 Billion in Medical Billing Errors Puts Physicians’ Livelihood in Jeopardy

MAY 15, 2017 — As many as 80 percent of all medical claims submitted to insurance carriers contain mistakes estimated at $68 billion (1). Approximately 55 percent of evaluation and management (E/M) claims are incorrectly coded resulting in $6.7 billion in improper Medicare payments.(2) Providers looking to avoid lost revenue and serious consequences are raising…

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Why We Host

Why We Host: An Interview with Lisa Lee, Senior Manager, Outreach Development for University Health System Practice Management Institute (PMI) works with clients all over the country to provide training opportunities for medical offices regionally. In 2016, University Health System (UHS) in San Antonio, Texas, hosted 11 classroom sessions that brought professionals from medical offices all…

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6 Best Practices for Appealing Denied Claims

Attention to detail when filing claims is the best defense when trying to curb denials. Even when everything is submitted correctly, there are a myriad of reasons that claims get denied. Codes may be out of date or lacking specificity. Modifiers may not be applied correctly. The patient may be ineligible for coverage or may…

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Advance Care Planning Codes: Will providers participate?

Advance Care Planning Codes: Will providers participate? Pam Joslin, MM, CMC, CMIS, CMOM According to a report entitled “Dying in America” from the Institute of Medicine (IOM), advance care planning is essential to improving the quality of end-of-life care. It also notes how traditional approaches to ACP—such as living wills (LWs) or powers of attorney…

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