Excel, or any spreadsheet program should be the go-to tool for any practice owner or manager who is tasked with data analysis. Examples of some of the data that your practice should analyze. What are my net collection percentages by payer? Am I receiving reimbursement at cost plus for any vaccines and injectables I am supplying to patients? Do I know the potential value of a contract offered by a payer or an Independent Physician Association? What is the cost of adding a new

One of the most popular topics I’ve written about over the past 10 years, and the one I get the most email on, is the ins and outs of using the Medicare Advance Beneficiary Notice of Noncoverage – the ABN – also known as form CMS-R-131. Why is getting an ABN so important? The answer to this question is simple. If you supply a service to a Medicare patient and Medicare does not pay for it, you can only collect payment from the patient if you’ve communicated to the patient what

UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in order to properly submit a claim and get paid. The new policy updates are being enforced to the code descriptions for Acupuncture services that are reported based on a 15 minute time increments of face to face contact with the patient. These time increments are not the duration of needle placement just the face to face contact with the patien

Anthem has recently update some of its reimbursement policies, these new updates will either apply to professionals or facilities. Below you will find explanations of each new update and which category it falls under. For more detailed information visit the respective sections on Anthems website. Bundled Services and Supplies and Modifiers 59, XE, XP, XS and XU -Professional Technology used to assist in the performance of a procedure is part of the surgical procedure. Startin