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 The current version 4010 is outdated and cannot accommodate the necessary business transactions for physician practices and healthcare facilities.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
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.
Coding Corner Answer
February’s Coding Answer
Avoid Coding & Billing Nightmares
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.
ICD-10 Adoption Brings Major Changes to Practices
Change will affect all facets of a rheumatology practice, from front desk to doctor charting to finances
Coding Corner Question
January’s Coding Challenge
Coding Corner Answer
January’s Coding Answer
Practice PAGE
A New Era of Coding for Rheumatology Practices
RHEUMATOLOGY PRACTICE PEARLS: Beware of Charting Pitfalls
Are your medical records up to date and complete? Medical records should always be complete and have accurate documentation to avoid violating the Health Insurance Portability and Accountability Act or other documentation guidelines.
Are Electronic Health Records a Plague or Panacea?
EHRs hold promise, but there are still plenty of kinks
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