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Popular CPT Codes of 2017

Popular CPT Codes of 2017 We all know that CPT Codes change vastly and frequently over the different specialities.  Also, it’s important to consider your geographic location as the rules and regulations can change from State to State and even region to region so that is one thing to keep in mind.  Today we’re going to focus on the Behavior ...
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CPT Coding- Forever Changing

CPT Coding – Forever Changing.   I’ll assume if you’re reading this blog that your already somewhat familiar with CPT Codes (Current Procedural Terminology.)  The first publication of the CPT Code was back in 1966 through American Medical Association (AMA).  The healthcare industry has changed drastically since 1966, which in turn means that CPT Coding has changed with it.  Typically ...
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Medicaid Fraud

Medicaid Fraud So in case you missed it last month, Agency for Healthcare Administration (AHCA) announced the selection of of Chris M. Presley, a Law Enforcement Investigator in the Office of the Attorney General, as the winner of the 2017 Fraud Fighter Achievement Award.  Mr. Presley was the one responsible of discovering Medicaid Fraud that has taken place for some ...
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Enrolling in Medicaid and Medicaid Managed Care Plans (HMO)

Many practices and facilities accept state Medicaid.  After enrolling with Medicaid they begin seeing patients.  Shortly thereafter, they may realize they’ve made a grave mistake as they didn’t enroll with ALL Medicaid products and now are not being paid for the patients they’ve seen. This blog will help you figure out the difference between Medicaid and Medicaid Managed Care Plans ...
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26 Questions to Ask When Opening a New Practice

Should you be an entrepreneur and start your own practice or should you be hospital (or group) employed? For some physicians, the answer is crystal clear – you want to start your own practice. The process of starting a practice is quite extensive and should begin before a physician finishes his/her residency or before the decision to leave a hospital ...
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Should I Hire a Billing Company or Do My Own?

For me, as an expert medical biller, this is the hardest question to answer. Medical billing has so many intricacies and learning the ins and outs is an incredible task. Simply stated, it’s learning another language. Following the list below will allow you to simply answer the question and move forward with your decision. Be sure to consult a qualified ...
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CALLING ALL Medical Billers and Medical Billing Firms!

Why aren’t you outsourcing the credentialing and provider enrollment process to a professional credentialing company? For today’s practicing provider’s, there is so much to do and the “business of the practice” needs special attention. Keeping abreast of the multitude of new coding requirements, billings standards, payor enrollment and payor policies, credentialing, contracting and federal mandates can be expensive and overwhelming ...
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Wells Fargo, Whose Really to Blame?

Be Sure You Are Following These Credentialing and Billing Golden Rules! Wells Fargo We’ve all seen Wells Fargo in the news this week for creating thousands of fraudulent accounts. The bank was fined $185 million dollars for improper and illegal sales tactics on behalf of it’s employees.  While one could argue that the bank, at its highest level, must have ...
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