How does Medicare set its fees? This is important for other payers because commercial payers often use the values set by Medicare to calculate their … [Read more...]
Five Novel Reimbursement Opportunities – and More to Boost Your Practice’s Payments | Webinar
Overview Instructions Webinar … [Read more...]
2024 Reimbursement Reality | Webinar
Reimbursement Reality 2024 Recorded January 18th, 2024 This webinar was presented by special guest Elizabeth Woodcock. Learn more about Elizabeth … [Read more...]
2025 RVU table with national fee amounts
Looking for 2025 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2025 CMS national RVU table below. It does … [Read more...]
How Physician Services are Paid – Overview
Have a new staff member or practitioner who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the … [Read more...]
Two Visits for the Price of One? | Multiple Medical Visits on the Same Day
Patients often schedule two medical appointments on the same day with physicians of different specialties. It’s convenient for them. It saves travel … [Read more...]
Facility versus Non-Facility in the Physician Fee Schedule
Understanding facility versus non-facility in the physician fee schedule explains the RVU and payment differences that practices receive when … [Read more...]
What is a Coverage Policy?
National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) are Medicare’s coverage policies that describe medical necessity for … [Read more...]
As Time Goes By
One of the complexities for medical practices is using time in CPT® coding. CPT® has long had a unit of time rule that a unit of time is met when the … [Read more...]
Coding Principles for Practice Administrators | Webinar
Coding Principles for Practice Administrators Recorded July 21, 2022 Administrators managing both fee-for-service and value based payment contracts … [Read more...]
Payment Denials for Unspecified Codes
From the day coders got their first glimpse at ICD-10 codes, the question went out in the land: “Will payers deny unspecified codes?” Recently, a … [Read more...]
How Old is Your Oldest CPT Book
My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it? … [Read more...]
Best Practices in Revenue Cycle Management | Webinar
Best Practices in RCM: Strategies for a New Era in HealthcareRecorded October 21, 2021 Medical practices face new risks and opportunities as … [Read more...]
How Medical Practice Services are Paid | Webinar
How medical practice services are paid Recorded May 20, 2021 "Who makes up these rules, anyway?" If you've ever asked that question, or been asked … [Read more...]
Coding Guide – How Physician Services are Paid
Have a new staff member or practitioner? Looking for a resource that provides an overview of how physician. services are paid? Download our guide. … [Read more...]
Physician Specialty Codes and Claims Processing
Specialty designation is determines how claims are processed for physician and non-physician practitioners in groups It is also important in … [Read more...]
Diagnosis Coding | Not Just for Claims Anymore
Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a … [Read more...]
OB Coder Survey | Billing Extra Visits During Pregnancy
Thank you to the 63 generous coders and billers who answered my questions about billing extra OB visits during the maternity period. If we and our … [Read more...]
Dear Resident, Do you Understand Relative Value Units (RVUs)?
Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]
How Physician Services are Paid – Infographic
CPT® Codes for Medical Reimbursement CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how … [Read more...]