Anthem Rate Changes
Like many payer contracts, Anthem’s has a clause that allows them to do a unilateral amendment to the agreement with proper notice. They have been exercising that clause to amend a number of contractual items recently. Of significant note has… Read More
Sustainable Growth Rate Repealed, ICD-10 Coming
At the eleventh hour the senate passed the Medicare Access and CHIP reauthorization bill which repealed the almost twenty year old Sustainable Growth Rate formula. The bill has been placed on President Obama’s desk for final signature which is expected…. Read More
Where X and Y Meet
I am frequently asked at what level of activity a practice will be profitable. Bruce Sanders, Executive Director of the ACP and I had this conversation at the AVF just recently. While this is a bit of a loaded question… Read More
Documentation Scrutiny Comes With New Technology
With the advent of new treatment options being approved by the FDA, practices are finding their documentation under more scrutiny than previously experienced. This has caused some unforeseen and sometimes surprising results. When sending claims for an unlisted procedure code… Read More
Experiences With Varithena
Recent experiences with Varithena claims have produced results we felt would be interesting to the venous community, so we thought we would share. As noted in a previous article by AJ Riviezzo, the claims have paid with some inconsistencies. We… Read More
PQRS Quick Information for Phlebology Practices
In order to participate for calendar year 2014 you must register by 01/30/15 and report by 02/15/15. If you qualify for one of the Measures Groups you must report on at least 20 patients. However, if you do not meet… Read More
Medicaid as a Payer?
With the cuts in reimbursement, increasing preauthorization requirements, and various government hoops to jump through; do you really want another payer with ‘hoops’ and poor reimbursement? The answer is a definite maybe. If your practice is already experiencing a wait… Read More
New Year, New Cards
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… Read More
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… Read More
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… Read More