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New Medicare Card and Reason Code N793

by Mary Pat Whaley | Apr 6, 2018 | Medicare & Reimbursement, Medicare This Week

If you’ve seen new reason code N793 on your Medicare remittance advice lately and wonder what it is, you now know it relates to the new Medicare card. The description for N793 is: Alert: CMS is changing from the Medicare Health Insurance Claim Number (HICN aka...

Getting Paid: Master the ABN Advance Beneficiary Notice

by Mary Pat Whaley | Jan 9, 2018 | Collections, Billing & Coding, Compliance, Medicare & Reimbursement

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...

Flu Shot Coding for 2017-2018

by Mary Pat Whaley | Sep 25, 2017 | Collections, Billing & Coding, Day-to-Day Operations, Medicare & Reimbursement

What’s new this flu season? The recommendation to not use the nasal spray flu vaccine (LAIV) was renewed for the 2017-2018 season. Only injectable flu shots are recommended for use again this season. CDC recommends use of the flu shot (inactivated influenza vaccine or...

2017 Medicare Deductibles and Premiums

by Mary Pat Whaley | Nov 29, 2016 | Collections, Billing & Coding, Finance, Medicare & Reimbursement, Medicare This Week

 2017 Medicare Parts A & B Premiums and Deductibles Announced The Centers for Medicare & Medicaid Services (CMS) announced the 2017 premiums for the Medicare inpatient hospital (Part A) and physician and outpatient hospital services (Part B) programs. Medicare...

Flu Shot Information: 2016 – 2017

by Mary Pat Whaley | Sep 13, 2016 | Collections, Billing & Coding, Medical Coding Education, Medicare & Reimbursement, Medicare This Week

    CDC Updates Flu Shot Recommendations for 2016-2017 Flu Season A few things are new this season: Only injectable flu shots are recommended for use this season. Flu vaccines have been updated to better match circulating viruses. There will be some new...

Heart Failure Patient Innovation Leads to New Service Line

by Mary Pat Whaley | Jun 7, 2016 | Collections, Billing & Coding, General, Innovation, Medicare & Reimbursement

Setting up new practices and healthcare businesses gives me the opportunity to meet some very creative and dedicated people. An exceptional case in point – Elizabeth Blanchard-Hills, the founder of CareConnext. She and I met several years ago while she was...
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