Happy New Year! The purpose of this article is to bring attention to the “new year, new insurance question.” Though not all, a lot of insurance plans renew at the beginning of the year. Now is a good time to bring awareness to your staff, and implement a good policy to verify a patient’s demographic […]
2015 Payer Guideline Changes
2015 brings some significant changes to payer guidelines. While you should be checking these regularly throughout the year, the new year is a good time to really go over them and address how they affect your practice. With the advent of new technologies, the world of Phlebology consistently needs newer strategies to ensure your patients […]
The Charting Rules of Diagnostic Radiology
Good charting is becoming a significant requirement and not a luxury. Your ultrasound reports are often the decider between a paid claim and a continued denial. There are some great resources out there on charting for diagnostic radiology, which this article will provide, but I will summarize the basics. The rules can be set out […]
Initial Varithena Payment Results
Not surprisingly, we have a number of clients that have treated some patients using the new Varithena Polidocanol injection program. We also have several more interested in both the clinical feedback and the financial feedback. Based on a number of telephone calls over the past few months, we believe a large number of our readers […]
Biometrics and Medicare
One element of the Affordable Care Act (Section 640) is to allow CMS to conduct ‘enhanced enrollment screening’. In short, any provider or a ‘5% or more owner of a company’ that is considered a high level of risk may be asked to supply fingerprints to a third party agency. The third party agency (called […]
Commercial Payers
The changes in the health care industry through the Affordable Care Act (ACA) and other elements have the commercial payers scrambling to ensure they are not left holding the bag. We have seen some very interesting and troubling trends developing over the past couple of years. Rates – While it is not much of a […]
Medicare Documentation Requests
Medicare through the various administrators across the United States is apparently taking a stronger look at claims. In the past, the Medicare intermediaries (MACs) rarely requested records in order to process a claim. The requests for records were normally from the third party companies performing a RAC or ZPIC audit. We have seen a marked […]
Best Practices for Incident Response: From Detection to Recovery
In today’s complex cybersecurity landscape, having a well-structured incident response plan is crucial for minimizing damage and ensuring quick recovery when a cyberattack occurs. This article will guide you through the best practices for incident response, covering key steps such as detection, containment, eradication, recovery, and the importance of learning from each incident to strengthen […]
ICD-10 — Or Not?
by Cheryl Nash As everyone has heard by now, ICD10 has been put on hold… again! This time due to some last minute partisan angling by a select few members of the House of Representatives. So the question remains, now what? First a bit of background. The House voted and passed a bill on 03/27/14 that […]
ACA Plans – Final Revisit
by AJ Riviezzo With the implementation of the various Affordable Care Act plans, some new issues have come to the fore. Each state’s payers seem to have different aspects and nuances with their plans. Some themes, however, are starting to become a bit more prevalent. Contracting – Even if you have always accepted All […]