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ICD-10: Practices Should Focus on Just 3 Things

by Mary Pat Whaley | May 4, 2015 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, Finance, Headlines, ICD-10

There is a lot of advice out there on making the transition to ICD-10. Your medical practice may already have taken some of this advice and you are well on the way to readiness for I-10. But if you’ve not done anything yet for the transition, this article is for...

New “One Patient” MU Rule Brings Relief

by Mary Pat Whaley | Apr 13, 2015 | Compliance, Electronic Medical Records, Medicare & Reimbursement, Medicare This Week

                Last week, CMS published a new proposed rule for Meaningful (MU). This rule strives to  “…align Meaningful Use (MU) Stage 1 and Stage 2 objectives and measures with the long-term proposals for Stage...

Are Patients Lost in Translation? An Interview With Dr. Charles Lee of Polyglot

by Mary Pat Whaley | Aug 26, 2013 | Amazing Customer Service, Compliance, Day-to-Day Operations, Electronic Medical Records, Innovation, Quality

Sometimes you find the most amazing things in your own backyard. In Research Triangle Park, NC, I found the wonderful Dr. Chuck Lee, President and Founder of Polyglot. I was bemoaning the lack of good translation software for healthcare and Sims Preston, CEO of...

Medicare to Providers “Tell Us More”

by Mary Pat Whaley | Jul 21, 2013 | Collections, Billing & Coding, Compliance, General, Medical Coding Education, Medicare & Reimbursement, Medicare This Week

    Medicare recently started denying an increased number of claims because documentation submitted for diagnostic tests does not include signed test orders or evidence of intent (MD progress notes listing tests needed) and evidence of medical necessity...

The New Age of Managed Care Contracting: Talking with Maria Todd of The Healthcare Business Institute

by Mary Pat Whaley | Jul 17, 2013 | Compliance, Day-to-Day Operations, Finance

    Dr. Maria Todd has been in healthcare since 1979 and has been the nation’s leading managed care trainer and consultant since 1989. She’s trained more than 70,000 healthcare professionals via more than 2500 road show seminars presented through...

Why Medicare Patients May Be Asked to Pay in Full for Services

by Mary Pat Whaley | Jul 15, 2013 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, Medicare & Reimbursement

          Most Medicare patients believe that Medicare pays for everything they need or want at their physician’s office, but there are services that either: Are only covered by Medicare for a specific medical need (for instance,...
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