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Monthly Archives: November 2012

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Prepare Now to Mitigate Potential Compliance Risks in Urology Revenue Cycle Management During 2013

2012-11-16T16:47:11+00:00

The Office of Inspector General (OIG) Work Plan for 2013 was released in October. Are you ready to implement the myriad of updates about potential risks in your Urology coding, billing and collections? Was that a faint "yes" or a resounding one? With the New Year fast approaching, the time is now to make sure your practice is fully prepared and your compliance plan is up to date. It is helpful for your compliance plan to include answers to the following questions: What is the OIG Work Plan process? What compliance areas should your practice address? What issues will be investigated [...]

Prepare Now to Mitigate Potential Compliance Risks in Urology Revenue Cycle Management During 20132012-11-16T16:47:11+00:00

2013 OIG Regulations and CMS Rulings Impact Radiation Oncology Revenue Cycle Management

2012-11-16T16:44:02+00:00

With changes in compliance regulations for Radiation Oncology revenue cycle management and Centers for Medicare and Medicaid Services (CMS) reimbursement cuts looming in 2013, it's a critical time for practices to ensure their Radiation Oncology coding, billing and collections is optimized. As reported by Radiation Therapy Alliance in a HeraldOnline.com article on Nov. 5, changes for Radiation Oncology practices include CMS reimbursement cuts of 7 percent (considered to be 15 percent at one time). Excerpts from the article include: "The reimbursement cuts to Radiation Oncology in 2013 will equate to approximately $140 million compared to 2012 rates. Though this amount is [...]

2013 OIG Regulations and CMS Rulings Impact Radiation Oncology Revenue Cycle Management2012-11-16T16:44:02+00:00

Plastic/Reconstructive Surgery Revenue Cycle Management Regs Require a New Look in 2013

2012-11-16T16:41:18+00:00

The Plastic/Reconstructive Surgery profession is continuing to experience growth in the market. Your revenue should reflect the full extent of all your hard work to build a successful Plastic/Reconstructive Surgery practice. As 2012 draws to a close, it's time to look ahead to 2013 and new compliance regulations that will impact your Plastic/Reconstructive Surgery revenue cycle management. Yet, understanding the new world of ever changing regulations in compliance and all the complexities of your Plastic/Reconstructive Surgery medical coding, billing and collections can become a job in and of itself. Preparations include creating or updating your Plastic/Reconstructive Surgery practice compliance plan to [...]

Plastic/Reconstructive Surgery Revenue Cycle Management Regs Require a New Look in 20132012-11-16T16:41:18+00:00

Healthcare Industry Regulation Changes Impact Orthopedic Surgery Revenue Cycle Management

2012-11-16T16:38:15+00:00

With all the compliance regulations today, it's a struggle to optimize Orthopedic Surgery revenue cycle management, particularly when compliance needs to be upheld, denied claims need to be appealed and grueling technical questions about diagnoses and procedures need to be answered. You know that having a compliance plan is critical to the health of your practice overall and your Orthopedic Surgery coding, billing and collections process specifically. But is your plan up to date? Does it fully identify areas of risk and key areas to correct? Who has time to keep abreast of all of the changing regulations, document policies and [...]

Healthcare Industry Regulation Changes Impact Orthopedic Surgery Revenue Cycle Management2012-11-16T16:38:15+00:00

Emergency Medicine Revenue Cycle Management Requires a Plan to Address Unique Compliance Issues

2012-11-16T16:32:33+00:00

As experts in Emergency Medicine, you're ready to spring into action at a moment's notice. But are you ready to prepare and respond fully to compliance issues, and all the complexities of hospital based Emergency Medicine medical coding, billing and collections? You already know that having a compliance plan is of the utmost importance to the integrity and profitability of your Emergency Medicine practice. OIG recently released its 2013 work plan to help you identify areas of risk and key areas to avoid unintentional fraud, waste and abuse. To help you understand some of the changes on the horizon, the following [...]

Emergency Medicine Revenue Cycle Management Requires a Plan to Address Unique Compliance Issues2012-11-16T16:32:33+00:00

Changes Impact Neurosurgery Revenue Cycle Management in 2013

2012-11-16T16:24:31+00:00

Sometimes it feels as if there are almost as many intricacies to your in-house Neurosurgery revenue cycle management as there are to the complex surgical procedures themselves. Merging the fine art of Neurosurgery with the business of medicine includes managing all the intricacies of Neurosurgery coding billing and collections while juggling all the changes in compliance regulations and avoiding audits. The following changes are provided to help you prepare for both coding and compliance changes on the horizon: Coding changes for 2013 include: New codes for angiography that may impact Neurosurgeons doing endovascular treatment New code for pre-sacral spinal arthrodesis New [...]

Changes Impact Neurosurgery Revenue Cycle Management in 20132012-11-16T16:24:31+00:00

Change is the New Standard for Family Practice Revenue Cycle Management

2012-11-16T16:20:03+00:00

These days, change has become the new standard in healthcare. 2013 will be no exception, especially for Family Practice revenue cycle management. Changes will occur to some of your most-used Family Practice codes, including updates to some of your most common vaccines. Plus, you may be facing potential reimbursement issues under the 2013 Fee Schedule and compliance concerns too. And there are E/M coding changes, too. For all of these changes and many more coming down the pike every day in Family Practice medical coding, billing and collections, it's imperative to the health of your Family Practice revenue cycle management to [...]

Change is the New Standard for Family Practice Revenue Cycle Management2012-11-16T16:20:03+00:00

2013 Brings Challenges, New Updates in Compliance and Diagnostic Radiology Coding, Billing and Collections

2012-11-16T12:37:43+00:00

Connecting all the compliance and reimbursement dots in Diagnostic Radiology medical coding, billing and collections is a veritable maze these days. Maintaining a razor sharp focus on the priorities and newest changes in Diagnostic Radiology compliance regulations is critical. According to the November 2012 journal Radiology, many practices [including in-house Diagnostic Radiology revenue cycle management teams] are unaware of the critical link between diagnosis coding and procedural coding systems and the systems that have developed to provide a common method of describing diseases, diagnoses, and procedures. Diagnostic Radiology is included in the 2013 OIG Work Plan, specifically Medical Necessity of High-Cost [...]

2013 Brings Challenges, New Updates in Compliance and Diagnostic Radiology Coding, Billing and Collections2012-11-16T12:37:43+00:00

2013 Compliance Regs are the Heartbeat of Cardiology Revenue Cycle Management

2012-11-16T12:29:15+00:00

Reviewing Medicare Part B claims is a big area of focus in 2013 for the HHS Office of Inspector General (OIG). And it is anticipated that Cardiology revenue cycle management will be hit significantly with coding changes. Before the New Year, get to know all areas of change in compliance and how they will impact your Cardiology medical coding, billing and collections. With all the compliance regulations today, it's a struggle to optimize Cardiology revenue cycle management, particularly when compliance needs to be upheld, denied claims need to be appealed and grueling technical questions about diagnoses and procedures need to be [...]

2013 Compliance Regs are the Heartbeat of Cardiology Revenue Cycle Management2012-11-16T12:29:15+00:00
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