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In the MLN Matters dated July 30, 2010, Change Request (CR) 7080, CMS gives additional instructions on the timely filing rule*: For institutional claims that include span dates of service (i.e., a “From” and “Through” date span on the claim), the “Through” date on...
Here's your pop quiz: The NCCI edits are: A. pairs of services that should not be billed by the same physician for the same patient on the same day. B. definition refinements for HCPCS codes. C. diagnosis codes (ICD-9) that cannot be billed together on a CMS 1500...
Many practices and providers take their patient schedule for granted. They overlook the opportunity to improve both productivity and effectiveness by managing their schedule. Here are ten tips for office managers to make sure that the patient schedule works for you...
Image via Wikipedia Computing in the cloud may mean that your application in not housed on your server onsite or may mean that your database is not housed on your server onsite, or both. You or your staff may use software applications or data that is stored in the...
NOTE: The date has been changed to July 5, 2011 has been delayed indefinitely. ************************************************************************************ Many managers have told me they know their providers are in PECOS but they're not on the list OR they...
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances...
Q: How do I know if I need to enroll in the Medicare PECOS (Provider Enrollment and Chain/Ownership System) or if I am already enrolled in PECOS? A: You need to be enrolled in PECOS (pronounced "pay-cose") if: You participate in Medicare or do not participate in...
A study currently under way, called the OpenNotes project, is looking at what happens when doctors' notes become available for a patient to read, usually on electronic medical records. In a report on the early stages of the study, published Tuesday in the Annals of...
I was fortunate enough to be listening by phone to the historic (yes, historic) announcement of the final meaningful use rules by Kathleen Sebelius, Secretary HHS; Don Berwick, MD, new CMS Administrator; David Blumenthal, MD, national coordinator for health...
Image by Dan Zen via Flickr A QR (Quick Response) Code is a two-dimensional matrix/bar code created in 1994 by Japanese corporation Denso-Wave for inventory purposes. Users hold their phone up to the code displayed on a sign, in a book, on a computer screen, tv, or...
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