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Articles tagged with "Coding"

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.

Medical Necessity—What Does it Mean?

Melesia Tillman, CPC, CRHC, CHA  |  

Almost every physician in this country has heard this phrase, “denied as not meeting medical necessity for the service performed.” What does this mean? How does a practice document medical necessity? Not knowing the answer to these questions can greatly affect a rheumatology practice’s financial well-being.

Practice PAGE

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A New Era of Coding for Rheumatology Practices

Practice Page: What PQRI Means to Rheumatologists

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The Physician Quality Reporting Initiative (PRQI) is a voluntary quality reporting program initiated by the Centers for Medicare and Medicaid Services (CMS) in 2007. CMS provides bonus payments to eligible providers who successfully report on applicable PQRI measures. For 2010, rheumatologists who successfully participate in PQRI can earn an incentive payment of 2% of the…