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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

Practice Support

Subcategories:EMRsFacilityInsuranceQuality Assurance/ImprovementTechnology

RHEUMATOLOGY PRACTICE PEARLS: Is Your Practice Ready for 5010?

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If your practice electronically submits administrative transactions to verify patient insurance eligibility, file claims, or send or receive remittance either directly to insurance companies or through a clearinghouse, the transaction version for that system will have to be updated by January 1, 2012. The current version 4010 is outdated and cannot accommodate the necessary business transactions for physician practices and healthcare facilities.

PRACTICE PAGE: The ACR Takes on Insurance Companies

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In response to the increasing demands of medical necessity and denials for approved drugs, the ACR is taking a large step towards protecting the rights of members when dealing with insurance companies.

ACR Volunteers Meet in Atlanta for Leadership Development

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Volunteers from the ACR, ARHP, and REF met in Atlanta last month for the annual Leadership Development Conference. This year’s keynote lecture was on the changes in healthcare, including quality improvement and emerging reimbursement models such as Accountable Care Organizations (ACOs) and the Pay-for-Performance movement. The topic proved to be very important to the group,…

Avoid Coding & Billing Nightmares

Melesia Tillman, CPC, CRHC, CHA  |  

Imagine getting a demand letter from a carrier that states your practice has incorrectly billed a procedure for the last year. To make matters worse, the carrier is asking you to return an overpayment, which amounts to thousands of dollars, and they want the full overpayment check within 45 days. Believe it or not, this scenario happens to rheumatology practices across the country.

The New Year Brings New Opportunities in HIT

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January kicked off a new era for health information technology (HIT). A new year brings new opportunities, with the Centers for Medicare and Medicaid Services (CMS) electronic health record (EHR) incentive program topping the list. But what is meaningful EHR use, and what does it mean for you? What are the steps to get started?