Scratching the Surface of MACRA

I have no less than 10 articles starred in my email inbox all related to MACRA, MIPS and APMs.  I have finally decided to take a stab at getting my head around this big change for 2017 quality reporting.  Hopefully, I can provide some insight to others as well. I decided to start at the beginning: What is MACRA? MACRA …

March is Colorectal Cancer Awareness Month

With preventive care being a major center of attention for the future of healthcare in the United States, there is not a better example of Benjamin Franklin’s “an ounce of prevention equals a pound of cure” than colorectal cancer.                                                           During March, it is the focus of an informative campaign by the CDC to get the word out to …

Avoid an Audit – Don’t Poke the Bear (Payer) Part 3

This is part 3 in a series of billing blogs, highlighting some common mistakes and ways you can utilize features in the advanced billing software, Iridium Suite, to minimize them and identify potential billing issues. In the first issue I discussed bundled codes.   You can see that article here. In Part 2, we looked at the intricacies of billing 77427 …

Avoid an Audit – Don’t Poke the Bear (Payer) Part 2

This is part 2 in a series of billing blogs, highlighting some common mistakes and ways you can utilize features in the advanced billing software, Iridium Suite, to minimize mistakes and identify potential billing issues. In the first issue I discussed bundled codes.   You can see that article here. In this issue, we will look at proper billing procedures for …

Avoid an Audit – Don’t Poke the Bear (Payer) Part 1

Almost daily there is a news story about billing fraud in healthcare.  There are those providers and practices that knowingly participate in fraudulent billing practices. The rest of the industry makes valiant attempts to follow appropriate practices. We all know, as humans we make mistakes.  Honest mistakes are not the same as fraud, but if not addressed, can prompt a …

BTW ICYMI FYI Review the Rules to Bill QMBs

Are you confused?  Masters of texting abbreviations or parents of teenagers, probably get most of it:   By The Way, In Case You Missed It, For Your Information review the rules to bill Qualified Medicare Beneficiaries.   You might want to read this ASAP because if you get a compliance letter from CMS, you might say OMG.   On November 4, …