medical billing update

The Society for Maternal Fetal Medicine’s Coding Committee Issues New White Paper

June 1, 2012 On May 19, 2012, the Society for Maternal Fetal Medicine (SMFM) issued a new white paper on how to correctly bill for services rendered by nurse practitioners. The white paper discusses options for direct billing, incident-to billing, and shared/split billing. To access the article, members can log into the SMFM website. For […]

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Physician’s E-Prescribing Deadline June 30, 2012 – Medicare 1.5% Payment Reduction if Not Successful

May 23, 2012 June 30, 2012 is the deadline for physicians to report on at least 10 electronic scripts in order to avoid Medicare’s e-prescribing program penalty. If a physician does not successfully report the production of 10 electronic scripts between January 1, 2012 – June 30, 2012, Medicare will apply a 1.5% payment reduction

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HHS Press Release: HHS Announces Intent to Delay ICD-10 Compliance Date

February 16, 2012 On February 16, 2012, U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced that HHS intends to delay the compliance date for ICD-10. Currently, the compliance deadline stands at October 1, 2013 (which is already a two-year delay from the original date outlined in the January 2009 final rule).

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Incentive Payments for Maryland Physicians that Practice in Underserved Areas

February 2, 2012 The state of Maryland is considering a proposal for the creation of “health enterprise zones.” These “health enterprise zones” would consist of rural and urban regions in Maryland in which the population has notably underserved medical needs; primary care physicians and healthcare providers who practice in these regions would then be eligible

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Billing Update for Anesthesia Providers: Not-Otherwise-Classified (NOC) Codes

January 31, 2012 On January 30, 2012 Medicare amended its Not-Otherwise-Classified (NOC) code set to remove unspecified anesthesia codes (CPT’s 00100 through 01996) from the list of codes that require a specific description to be supplied in order to pass 5010 edits. While this change may seem minor, it is indeed good news for medical

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Medicare continues to expand preventive services

January 23, 2012 Medicare’s recent policy changes reflect a heightened awareness of the value of preventive care. The newest changes include reimbursement to providers that offer alcohol misuse counseling, cardiovascular screenings, depressions screenings, and obesity screening and counseling. Additional preventive services that Medicare currently covers include annual wellness visits, abdominal aortic aneurysm screenings, bone mass

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iPad apps for Physicians

January 19, 2012 While our medical billing team keeps on the cutting edge of technology developments on our end of the healthcare reimbursement cycle, we also want our physicians to share in the wealth of available technological resources. Smart phones and tablets are becoming widely used in healthcare, and many applications are being designed specifically

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Relevant news for Carefirst Bluecross Blueshield Providers

January 16, 2012 As we launch into 2012, Carefirst has several new updates to their plans and policies: Carefirst recently launched its new insurance plan, HealthyBlue 2.0. For information on how to recognize this plan and how to properly bill for services, healthcare providers can sign up for free training with Carefirst. Visit www.carefirst.com/providers and

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