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… Read More
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… Read More
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… Read More
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?… Read More
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… Read More
Patient Collection Process
by Misty Wilkes Collecting money from a patient is never an easy task. In an ideal world everyone would pay their bill as soon as they receive it. In reality, medical bills are usually last on the list for payment…. Read More
Update to Code 37241
by Cheryl Nash After extensive research into CPT code 37241, along with the conflicting information being provided by various sources, I submitted a query to the AMA in regards the appropriate use of this code specifically in relation to Endo-Mechanical/… Read More
Phlebology Practice Management Group
by AJ Riviezzo A number of people have expressed interest in being able to communicate with their peers in the phlebology community. To that end, we have created a Google group for phlebology practice managers. You have to sign into… Read More
2014 Changes
A Glossary by Cheryl Nash This year is certainly bringing a lot of changes to the world of healthcare. I am pressed to think of any aspect of this industry that is not going to be significantly impacted by at… Read More
Endomechanical Ablation Coding
Our View by AJ Riviezzo Recently code 37241 has been touted as potentially proper coding for an endomechanical ablation of a saphenous vein. The reimbursement is fantastic. It is an inclusive code. Medicare pays it quickly. As my mother always… Read More