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Dear Mary Pat: How Do I Handle Chart Audit Requests From Payers?

by Mary Pat Whaley | Apr 19, 2010 | Day-to-Day Operations, Medicare & Reimbursement

When a payer or health plan calls your practice and requests records or requests an on-site visit to review charts, follow this guideline: Be professional at all times.  Audits can be nerve-wracking and can be a drain on internal resources, but there is always...

Medicare Cuts Delayed Again, This Time Until June 1, 2010

by Mary Pat Whaley | Apr 15, 2010 | Headlines, Medicare & Reimbursement

UPDATE: On June 24, 2010 the House and Senate passed legislation to further delay the Medicare cuts until November 30, 2010. More here. ***** Close on the heels of an affirmative Senate vote, the House of Representatives approved HR 4851 (Continuing Extension Act of...

Is Facebook a Serious Business Tool? Ask CMS.

by Mary Pat Whaley | Apr 14, 2010 | Medicare & Reimbursement, Memes, Social Media

Not on facebook yet? CMS is.

The Healthcare Bill, Rage, Concierge Practices, Cuts, Claims and Don Berwick (Yes!)

by Mary Pat Whaley | Mar 28, 2010 | Finance, Headlines, Medicare & Reimbursement, Memes

HEALTHCARE BILL IMPACT ON INDIVIDUALS AND RAGE A number of people asked me about the impact of health reform on them as individuals.  Here is a great story from the Atlanta Journal-Constitution that takes specific examples of individuals and families and speculates on...

Frank Cohen Produces April 1, 2010 CCI Edit Analysis for Medicare Part B Claims

by Mary Pat Whaley | Mar 23, 2010 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)

Here’s a refresher from CMS on NCCI for those of us experiencing acronym-exhaustion: The CMS (Centers for Medicare and Medicaid Services) developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control...

Historic Votes on H.R. 3590 and H.R. 4872 Usher In Healthcare Reform

by Mary Pat Whaley | Mar 22, 2010 | Finance, Headlines, Medicare & Reimbursement, Memes

As I write this Sunday night I am listening to the US House of Representatives’ discussion/posturing prior to a ‘yes” or “no” vote for the Senate’s healthcare reform bill H. R. 3590.  I don’t usually listen to CNN Live, but I...
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