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Top Strategies for Collecting Patient Balances: From the Front Desk to Online Bill-Pay

May 29, 2012 According to Fiserv’s 2011 Consumer Billing and Payment Trends, online bill payments now account for 50 percent of all bill payment volume in the United States, while checks account for 23 percent. If you haven’t done so already, now is the time to implement your online payment solution! In fact, the American […]

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Resource for Maryland Physicians & Medical Billing Companies

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May 17, 2012 Maryland has a unique online forum for healthcare providers to file complaints with the Attorney General’s Health Education and Advocacy Unit and the Maryland Insurance Administrator. On April 30, 2012, the Maryland State Medical Society (MedChi) and Maryland Attorney General Gansler joined together in announcing a new website, “Insurance Watch,” where providers

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Physician’s E-Prescribing Deadline June 30, 2012 – Medicare 1.5% Payment Reduction if Not Successful

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May 23, 2012 June 30, 2012 is the deadline for physicians to report on at least 10 electronic scripts in order to avoid Medicare’s e-prescribing program penalty. If a physician does not successfully report the production of 10 electronic scripts between January 1, 2012 – June 30, 2012, Medicare will apply a 1.5% payment reduction

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Newsflash for Providers Considering Medicare Enrollment

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May 17, 2012 Effective May 14, 2012, CMS has updated its enrollment process for Medicare providers. Providers and suppliers can now submit their enrollment applications 30 days sooner. CMS-855 enrollment applications and Internet-based PECOS applications may now be submitted 60 days prior to the effective date. This new policy does NOT apply to the following

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Proposed Bill to Permanently Repeal SGR Formula & The Threat To Medicare Physician Payments

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May 16, 2012 On May 9, 2012, a bipartisan bill was introduced to the U.S. House of Representatives that would permanently repeal the Sustainable Growth Rate (SGR) formula. The SGR formula was adopted by Congress in 1997 with the intention of preventing Medicare spending on physicians from exceeding the overall growth of the economy. Every

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Medicaid Reimbursements to Match Medicare for Primary Care Physicians

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May 9, 2012 Today, May 9, 2012, the Department of Health and Human Services announced its proposed rule to implement the Affordable Care Act requirement that Medicaid reimburse primary care providers at the same as Medicare. As providers and their medical billing companies already know, Medicaid currently reimburses at a lower rate than Medicare in

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Fetal Coding: Aetna Updates Clinical Policy Bulletin for Fetal Echocardiograms

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May 8, 2012 On April 24, 2012, Aetna updated Clinical Policy Bulletin (CPB) #0106 for fetal echocardiograms. If you render any maternal-fetal services, or likewise do the medical billing for any speciality that accepts commercial insurance, you should make yourself familiar with Aetna’s Clinical Policy Bulletins. These CPB’s clearly define Aetna’s standards regarding medical necessity

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SMFM

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We are a proud member of SMFM, the Society of Maternal-Fetal Medicine. For more information on this organization you can visit their website here.

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Electronic Billing of Corrected Medical Claims

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April 26, 2012 Every provider and billing company knows that there will always be instances in which it is necessary to file a corrected claim. Perhaps a more appropriate CPT needs to be billed, a modifier appended, or diagnosis revised. In any case, the process of correcting and resubmitting claims can be both time-consuming and

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Reminder to Physicians & Billing Companies: Verify Patient’s Coordination of Benefits!

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April 19, 2012 The Centers for Medicaid & Medicare (CMS) recently released an MLN Matters Article that highlights the Medicare Secondary Payer (MSP) rules. These rules delineate the circumstances in which Medicare will only make payment after another insurance carrier issues the primary payment. All too frequently, physicians and their billing companies will receive denials from Medicare

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Top Strategies for Collecting Patient Balances: From the Front Desk to Online Bill-Pay

Resource for Maryland Physicians & Medical Billing Companies

Physician’s E-Prescribing Deadline June 30, 2012 – Medicare 1.5% Payment Reduction if Not Successful

Newsflash for Providers Considering Medicare Enrollment

Proposed Bill to Permanently Repeal SGR Formula & The Threat To Medicare Physician Payments

Medicaid Reimbursements to Match Medicare for Primary Care Physicians

Fetal Coding: Aetna Updates Clinical Policy Bulletin for Fetal Echocardiograms

SMFM

Electronic Billing of Corrected Medical Claims

Reminder to Physicians & Billing Companies: Verify Patient’s Coordination of Benefits!

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