Blue Cross and Blue Shield of Illinois
And you are asking yourself, why should I care about Blues of Illinois since I do not live in Illinois. Unfortunately, United Airlines employees have Blues of Illinois, along with a few other large employer groups, who may come to… Read More
Medicare "Red Flags"
When billing to Medicare, there are a few issues of which you should be aware to ensure you are not sending claims that can create a ‘red flag’. With the new RAC audits that are coming, it is important to… Read More
Medicare Audit Changes
Due to new healthcare legislation designed to catch overpayments, Medicare recently ‘hired’ several different organizations to begin auditing Medicare claims. There are a number of items of which you should be aware as they can impact – in a very… Read More
Billing 93965 with 93970
This multiple scan billing question has come up and caused a little controversy. Let me try to make it a little clearer. First the basics:93965 is defined as Non-invasive physiologic studies of extremity veins, complete bilateral study (e.g. Doppler waveform… Read More
Ultrasound Reimbursement
Decrease in Ultrasound Reimbursement Medicare has come up with a somewhat sneaky way to reduce your reimbursement for bilateral and unilateral duplex ultrasounds (codes 93970 and 93971). Here’s how: In 2006, Medicare implemented the Outpatient Prospective Payment System (OPPS) to… Read More
Medicare and Affiliated Products
MEDICARE AND AFFILIATED PRODUCTS: There exists some confusion, both by the practice and by the patient, as to what Medicare or other Medicare related benefits a person may have. While this document will not solve all of the issues, we… Read More
Summertime Blues
A concern many practices may face is a drop in patients during the hot summer months when wearing hose is no fun. There is, though, one group of potential patients who only want services done during the summer… school teachers…. Read More
Practice Standards
Below are some practice guidelines for your consideration. Most of these are in regards to your receivables but there are a few operational guidelines as well. For phlebology practices, the number of claims that ‘age’ due to notes requests and… Read More
January/February Marketing Tip
MARKETING TIP: It is cold and flu season for the PCP’s so they are pretty busy this time of year. However, now is a good time to reach out to other types of providers. OB/Gyn practices can be a good… Read More