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

Articles tagged with "Reimbursement"

Pearls for Denials Management and Appeals

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Denials management and appeals are two of the most underestimated processes in rheumatology offices. Most practices lose thousands of dollars each year because of not following up on or incorrectly writing off denied claims. It is crucial for physicians and their staff members to stay on top of denials to boost the revenue cycle.

The Health Buzz

Stanley B. Cohen, MD  |  

What is the ACR doing with healthcare reform?

Pearls for Preauthorization: Part Two

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Last month’s “Rheumatology Practice Pearls” focused on the denial or return of preauthorization requests because of missing data. This month’s pearls focuses on obtaining authorization for off-label drugs and updating a previous preauthorization.

Pearls for Preauthorization

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Over the next several months, “From the College” will offer practical tips on improving office management guidelines, putting the latest healthcare information technology to work for you, and coding. This month, “From the College” offers some pearls for preauthorization.

Incorrect Reimbursements—Is This Your Practice?

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Imagine you have received a remittance for patient John Doe for charge 99214 in the amount of $69.89. Your billing staff reconciles the money and updates the account. Would you consider this a successful reimbursement? If so, it may surprise you to know you have just been underpaid by $20 because the correct fee schedule was $89.89.

New Advance Beneficiary Notice

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CMS has replaced the general and lab advanced beneficiary notice with the Advance Beneficiary Notice (ABN) of Non-coverage. The new titled notice requires physicians and other healthcare providers to use a new form when services are not expected to be covered by Medicare.

Boost Revenue with Denials Management, Appeals

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Denials management and appeals are the two most underestimated processes in rheumatology offices. Most practices lose thousands of dollars every year because they are not following up or writing off denied claims correctly.