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- LCD
- Corporate Practice of Medicine Legislative Brief
- RAC Prepayment Reviews of Medicare Claims Are Coming
- The Latest Risk Area for Providers: CMS’ EHR Incentive Program Post-Payment Audits
- Fraud Enforcement and Recovery Act – Significant Changes in a Health Care Community
- RACs, PSCs, ZPICs, MFCUs, MICs, MRACs, OIG, DOJ, FBI, and Now. . . Patients?
- Why patients are branch reduction to media and friends for health information
- Clarification Concerning HIPAA 5010 and NCPDP D.0 Cutover and Impacts on Crossover Claims
- EDI Technology Support Center Temporarily Extends Support Hours
- Medicaid/CHIP Funding
- RAC Audits to be Extended to Medicaid — HHS Publishes Proposed Rules on Medicaid Recovery Audit Contractors Further Highlighting a Question, Is a Claim Ever Final? Providers Need to Understand and Take an Active Role in a Process.
- Are Whistleblower Provisions Coming to HIPAA?
- Senator Responsible for Whistleblower Laws Seeks Stronger Regulations
- HIPAA Audits Are Here – Make Sure Your Privacy Policy is Fully Compliant
- Physicians acquire scarcely ideal ratings from many patients
- MM7701 – Allowing Physician Assistants to Perform SNF Level of Care Certifications and Recertifications
- MM7737 – Emergency Update to a CY 2012 Medicare Physician Fee Schedule Database
- Professional Liability Insurance
- CMS Authorizes Medicare Contractors to Accept Administrative Appeals by Facsimile and Secured Internet Transmission though Many Contractors have Yet to Implement this Change
- RACs, PSCs, ZPICs, HIPAA Auditors, State MFCUs, MICs, Medicaid RACs, HHS-OIG, DOJ, FBI, and Now. . . Patients?
- Conducting Mock Audits
- How to bill for a cloud-based EMR system
- MM7681 – Advanced Diagnostic Imaging Accreditation Enrollment Procedures (CR 7681 Fully Rescinds and Replaces CR 7177)
- Intern and Resident Information System (IRIS) Software Updates
- Scope of Practice Legislative Brief
- Points to Consider When a ZPIC Extrapolates Alleged Damages
- We’ve Moved!
- The Next “Patient” You See May be an Undercover Physician Auditing Your Practice.
- Editorial: Inside demeanour during physicians’ welcome of inscription computers
- Reporting Inpatient Days for Version 5010 Institutional Claims
- SE1138 – Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims
- Graduate Medical Education Funding
- Region D RAC (Health Data Insights) Begins Medical Necessity Reviews
- CMS Delays RAC Prepayment Demonstration Project . . . For Now.
- The U.S. Sentencing Commission has released due changes that might significantly impact correspondence skeleton and correspondence professionals.
- Older doctors a lot some-more tech-savvy than many think
- SE1137 – Additional HIPAA 837 5010 Transitional Changes and Further Modifications to a Coordination of Benefits Agreement National Crossover Process
- Beginner’s Guide to Medicare – Part 2
- Legislative Brief: Taxes
- Region B RAC CGI Announces that it will Begin Review of Eighteen Projects that Involve Medical Necessity
- Are Your Privacy Practices Fully Compliant? HIPAA Audits are Here
- New York Medicaid Makes Compliance Program Mandatory
- Smartphones blamed for augmenting risk of health information breaches
- MS-DRG 246 Cardiovascular Procedure with Drug-Eluting Stent with MCC Documentation
- LCD
- Texas Medical Board Legislative Issues
- Look during RACs — Part III: What Should Physicians and other Medicare Providers Know about Appeals and Recoupment?
- Get Ready – RAC Prepayment Reviews of Medicare Claims Are on a Horizon
- Nurse Stands Trial for Reporting Allegedly Dirty Doctor
- Medicare opens medicine claims to researchers
- MM7726 – Apr 2012 Quarterly Correct Coding Initiative Edits, Version 18.1
- New Password Reset Option for TrailBlazer Web Site
- Cancer Detection and Prevention
- A Look during RACs — Part II: How Should Physicians and Other Providers Respond to a RAC Audit?
- CERT Audits are Serious – Don’t Take them Lightly
- New Compliance Initiative Issued by U.S. Sentencing Commission
- Using time as banking can assistance practices caring for a uninsured
- LCD
- Medicare Cost Report Filing Update
- Tobacco Prevention
- A Look during RACs — Part I: What Do Physicians, Home Health, Hospice, and DME Providers Need to Know?
- “A created agreement isn’t value a paper it is created on.”
- Practices get some-more time to switch to HIPAA 5010
- Workaround for Claims With POA-Exempt Diagnosis Codes Effective Oct 1, 2011, Editing With Reason Code 34931
- LCD
- Health Plan Prescription Drug Formularies
- Training, EMR tracking can condense risk of deviation overdoses
- Many patients holding a pass on electronic entrance to records
- LCD – Drugs and Biologicals, Non
- Office-based doctors comfortable to e-prescribing
- EMRs: Your transition from paper
- SE1201 – Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers
- Obesity Prevention
- HHS-OIG news “Recovery Audit Contractors’ Fraud Referrals.”
- Medicare Post Payment Audits and a “Average” Provider
- Doctors’ authorised remedies can better online attacks
- LCD – Non
- Medicare Physician Fee Schedule (MPFS) and Medicare Physician Fee Schedule Database (MPFSDB)
- Patient-rating websites tip Google searches for best doctors
- Residents’ enterprise for sanatorium practice poses recruiting plea for practices
- Three Ways to Enhance EDI Assistance
- AMA anticipating to stop ICD-10 use in billing
- Digital pens offer as some physicians’ overpass to EMR
- ASC X12 837 5010 Move-to-Production Procedures
- IOM calls for monitoring and examine of health IT hazards
- Medical temperament burglary a flourishing problem
- TrailBlazer Average Processing Days for CMS-855 Applications and Appeals
- Mental Health Funding
- Early EMR adopters get a break; worse criteria behind to 2014
- LCD
- Interpreting Errors/Edits on 277CA Reports
- Managing a doubt of health complement remodel (MGMA annual meeting)
- Counseling on ethanol helps patients and is billable
- - 3/21/2012
- Make certain a approach we use an EMR doesn’t unwittingly demeanour like fraud
- Pain government for use breakups
- SE1202 – Health Professional Shortage Area Bonus Payment Policy Reminders
- Physicians rest on hunt engines to assistance find clinical information
- What to contend when patients exchange over their bills
- LCD
- Immunization
- AMA releases remedy tracking app
- Updated Naming Convention for ASC X12 277CA in GPNet Mailboxes
- Submitting Electronic Claims Versus Paper Claims
- What can a use do when a studious harasses a staffer?
- Clinical informatics now a subspecialty
- Market sepulchral for wireless monitoring devices
- U.K. holding American-style proceed to health IT
- Editorial: Efficient claims handling: A present that keeps on giving
- After years of large increases, use costs dump 2.2%
- Upcoming Dates for Medicare EHR Incentive Program and Information on Payment Threshold for Eligible Professionals
- Health Information Technology
- New year, new concerns: How to set medical use goals for 2012
- New Screening and Preventive Services
- Why tiny medical practices loiter in EMR adoption
- Wikipedia cancer info accurate though tough to understand
- Sloppy recordkeeping can lead practices to difficulty with OSHA
- The latest health caring selling tool: QR codes
- Social media increasingly used to sign open health
- Medicaid claims audits to start in January
- MM7557 – FISS Claims Processing Updates for Ambulance Services
- More Workers’ Comp Improvements Needed
- How record can bond doctors and caregivers
- February 2012 TrailBlazer A/B Call Center Closures
- AMA launches online organisation for e-claims
- WellPoint counting on Watson to ask a right health caring questions
- Physician texting provides discerning communication — and an easy approach to violate HIPAA
- Making partial time work
- Information for Outpatient Prospective Payment System Providers Regarding a Billing of CPT Code 33249
- Silent PPOs/Unregulated Rental Networks
- Scribes can palliate support weight — for a price
- LCD
- Provider Enrollment Process: Enrolling and Revalidation
- NLRB news raises questions about amicable media use during practices
- Medicaid fetches aloft drug rebates than Medicare
- SNF Updates
- Nearly all U.S. doctors are now on amicable media
- Criminal philosophy and fortify of Illinois doctors returning online
- Update to a Primary Care Incentive Payment Program for Critical Access Hospitals Paid Under Optional Method
- Editorial: Medicare e-prescribing still too rigid
- Online videos might offer many crash for medical selling buck
- Medicare FFS Version 5010 Requirement Changes for Non-Specific Procedure Codes
- JAMA editor takes reins in a new communication age
- Emergency departments spin to texting wait times
- MM7685 – Due Jan 30, 2012 – Teaching Hospitals Reporting a IRS Refund of Medical Resident FICA Taxes
- Editorial: Take us along with the mobile edition
- Culturally efficient practices can expostulate adult good will — and studious traffic
- Insurance brokers’ purpose approaching to change with health reform
- Time might be developed to enhance or build medical offices
- Group appointments can offer both patients and practices
- Rated negatively online? What’s a medicine to do?
- Practices’ transparent remuneration policies let patients know where they stand
- Here come a 20-somethings
- 5 ways to conduct your online reputation
- VA sponsoring competition to enhance "blue button" program
- Hardship waivers final possibility to equivocate Medicare e-prescribing penalty
- Lawsuit opposite branch dungeon appropriation dismissed
- Nearly half of office-based physicians work with NPs and PAs
- Medicare spends 50% reduction on Part D drugs than primarily estimated
- AMA App Challenge enters final stretch
- Rebuff studious Facebook crony overtures, British Medical Assn. advises
- Illicit online pharmacies review to hacking to benefit customers
- Pace of mergers, acquisitions revs adult for medicine practices
- Army considers smartphones and tablets for terrain use
- WellPoint reaches indeterminate settle in information crack suit
- Drugmakers contingency concede caller comments on Facebook pages
- Direct Project gives doctors secure entrance to information exchange
- 7 things to cruise when selecting mobile devices
- Editorial
- Attention Colorado Submitters: New 277CA Report May Be Received
- Medical guilt remodel demo might be in limbo
- Tips on removing paid for smoking relinquishment treatment
- January 2012 TrailBlazer eBulletin Now Available
- More Democrats join GOP opposite Medicare cost-control board
- Health caring spending rises as certainty in ability to compensate falls
- J4 LCD Updates – Dec 2011
- Staying in private use offers the possess rewards
- Co-pay or no co-pay? That is a treacherous question
- New Process for Recovery Audit Demand Letters
- Part-time doctors jolt adult tiny practices
- Medical guilt remodel closer to House passage
- MM7674 – Inpatient Rehabilitation Facility ‘No-Pay’ Billing for Medicare Advantage Patients Update
- California patients can sue if personal information are expelled during billing disputes
- Medicaid medicine compensate swept adult in conflict over appropriation and access
- MM7670 – Apr 2012 Claim Status Category and Claim Status Codes Update
- Funding for pediatric residencies stays in doubt
- Tactics for parsimonious times: How to keep your use afloat
- Updates, Changes and Reminders
- AMA residence seeks dissolution of OTC drug-spending rule
- Aetna sues 9 N.J. doctors for ‘unconscionable’ fees
- AMA residence endorses inhabitant anathema on ‘bath salts’ fake drug
- Feedback on open-access scheduling "by no means glowing"
- GOP doctors mount behind Medicare privatization plan
- A private place for nursing mothers: Legal requirement is easy to meet
- Insurers desecrate 1 in 5 claims, AMA finds
- Business is sepulchral for Medicare liberation review contractors
- Small practices: Adapting to survive
- 2 some-more senators deliver bills to tell Medicare claims data
- Bill would hurl behind restrictions on HSAs, FSAs
- Denial-management programs get claims paid
- Leasing use to sanatorium can be a viable business plan
- Small medical practices struggling with medicine turnover
- Greening your technology: A high-tech approach to save a planet
- Not e-claim compliant? Expect no compensate in 2012
- House revives check to concede widespread health word sales
- Obama necessity devise includes strengthened Medicare compensate board
- IPAs see ACOs as a second chance
- Sharpening your consult skills: How practices can magnitude studious satisfaction
- MM7684 – Multiple Procedure Payment Reduction for Physician Services for Certain Diagnostic Imaging Procedures in CAHs
- House GOP bill devise aims to cut entitlements, deficit
- Web-Based Training Available during Your Convenience as Encore Recorded Events
- Keeping workers healthy doesn’t have to cost a fortune
- - 3/27/2012
- Health reform’s initial change: taxation stating order cut
- MM7734 – Apr 2012 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- How to keep bureau romances from spiteful your practice
- MM7692 – Revised Editing for Hepatitis B Administration Code G0010
- House row votes to finish word sell and propagandize health core funding
- MM7686 – Medicare System to Include ‘Rendering Provider’ Field to Allow Correct Physician NPI Reporting for PCIP for CAHs Reimbursed Under Optional Method
- Bill seeks outward examination of relations values in Medicare services
- MM7717 – SNF/SB Part A Billing Requirements for Assessment Date Reporting and Removal of Occurrence Code 16 Reporting Requirement
- Shutdown would have had small outcome on Medicare, Medicaid claims payments
- LCD
- Appealing denied claims seems to work, GAO news says
- MM7680 – Update to a FY 2012 List of Codes Exempt From Reporting Present on Admission
- Pediatricians examination with concierge residence call practices
- MM7675 – Revisions to a Hospice Medicare Summary Notice
- Bill would post each physician’s Medicare billing information on Internet
- - 3/13/2012
- Reducing EMR training to save income exacts high toll
- Crossover Information Regarding Claims With eRx Payment Reduction
- Supreme Court refuses to hear pay-for-delay case
- MM7363 – Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators
- New Jersey Blues systematic to compensate $8 million for putting claims on hold
- Patient Screening
- How to equivocate being burnt by staff burnout
- GOP targets imperative appropriation for health remodel law
- Treating mental illness in primary caring — and still removing paid
- Beginner’s Guide to Medicare – Part 3
- “There is a fiduciary avocation here. It’s unequivocally improbable to us.”
- Viewing and Searching Notices, LCDs and FAQs Is Now Easier
- - 4/11/2012
- Electronic and Paper Claim Submission Requirements
- CWF Great Lakes, Keystone and Southeast Hosts Unavailable Feb 18, 2012
- “Beware of Small Print – It Can be Bad for Your Wallet”
- MM7533 – CY 2012 Medicare Rural Health Clinic and Federally Qualified Health Center Payment Rate Increases
- Modifiers 52 and 53
- Medicare Documentation and Audits
- LCD
- LCD
- LCD
- Determining Eligibility for a Medicare Health Professional Shortage Area Physician Bonus Payment
- Data Tools Can Give You a Better Sense of Average Utilization Rates
- January 2012 Web Site Enhancements
- Déjà Vu – RAC Prepayment Reviews Are Back!
- Envelope Control/Reference Number Matching for Version 5010 Claim Transitions
- LCD
- LCD – Non
- MM7687 – Update to Abortion Condition Codes Associated With Reason Code 32809
- MM7671 – Summary of Policies in a CY 2012 MPFS Final Rule and Telehealth Originating Site Facility Fee Payment Amount
- MM7706 – Update to Medicare Claims Processing Manual, Chapter 3, ‘Inpatient Hospital Billing’
- Effective Feb 12, 2012 – RACF Password Rule Changes
- MM7631 – Revised and Clarified Place of Service Coding Instructions
- MM7694 – New Waived Tests
- MM7703 – MPPR on Imaging Procedures and a OPPS Cap on Technical Component of Imaging Procedures
- MM7704 – Reporting ICD-10 Codes on Type of Bill 33X
- Improper Billing of Code G0431
- Electronic Prescribing
- LCD
- ESRD Top Billing Errors
- ESRD Top Billing Errors Teleconference
- MS-DRG 247 Cardiovascular Procedure With Drug-Eluting Stents Without MCC Documentation
- Appeals
- Update
- March 2012 TrailBlazer A/B Call Center Closures
- Joint Replacement Documentation
- SE1205 – Updating Beneficiary Information With a Coordination of Benefits Contractor
- Preparing for Version 5010 Upgrade – Questions to Ask Your Vendor
- MM7688 – Immediate Recoupment for FFS Claims Overpayments
- Advance Beneficiary Notice of Noncoverage (ABN)
- Medical Denials and Appeals
- Understanding a Medicare Remittance Advice
- J4 Ask-the-Contractor Teleconference
- Physician Quality Reporting System for 2012
- MM7610 – Screening for Sexually Transmitted Infections and High-Intensity Behavioral Counseling to Prevent STIs
- TrailBlazer’s IVR and Web Site – Self-Service Tools for Medicare Information
- Due Mar 5, 2012 – Availability of a Proposed Federal FY 2013 Wage Index Public Use Files, Deadline for Requesting Revisions to a Wage Index Data and Wage Index Development Timetable
- Medicare Proposes New Steps to Protect Taxpayer Dollars – Affordable Care Act Gives New Authority to Recover Overpayments More Quickly
- - 4/24/2012
- MM7641 – Intensive Behavioral Therapy for Obesity
- Major Improvements to Medicare Online Enrollment System
- Medicare-Covered Preventive Services – Information and Resources
- LCD – Brachytherapy: Non
- Joint Replacement Medical Review
- CAH Top Billing Errors and Resources
- J4 LCD Updates – Jan 2012
- Important Update Regarding HIPAA Version 5010/D.0 Implementation
Archives
- February 2012 (128)
- January 2012 (169)
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