Effective January 1, 2020, all claims submitted to Medicare must be billed with the new Medicare Beneficiary Identifier (MBI) in place of the Health Insurance Claim number (HICN). The new year is almost here, and the Novitas EDI Department wants to make sure you are ready! As of January 1, 2020, any claim files submitted without the […]
Read MoreWhen you think of Thanksgiving, EHR and medical billing codes most likely don’t come to mind, so here’s a list of our top 10 helpful Thanksgiving ICD-10 codes: W71.43 Pecked by turkey (let the pros kill it next time) W61.42 Struck by turkey (was he wearing gloves?) W61.49 Other contact with turkey (next year, cook […]
Read Morehttps://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE18006.pdf Starting January 1, 2020, even for services provided before this date, you must use MBIs. With a few exceptions, Medicare will reject claims you submit with Health Insurance Claim Numbers (HICNs.) Medicare will reject all eligibility transactions you submit with HICNs.
Read MoreBefore an effective, clinically driven RCM strategy can be implemented, an understanding of current financial health must exist. Practices can leverage a number of best practice metrics to make this determination. [oc_spacer height=”10″] WHY IS DAYS IN AR IMPORTANT? When money is tied up with payers, practices lose momentum with cash flow as well as […]
Read MoreIn simple terms, RCM (Revenue Cycle Management) refers to the steps that healthcare organizations must take to receive payment for services rendered. Historically viewed as a straightforward back-office function, RCM now touches every aspect of a practice. A complete RCM strategy is comprised of three main functions: Generate revenue: Practice survival and sustainability depend on […]
Read MoreNew flu shot codes and payment allowances go into effect each year on Aug. 1 for Medicare, allowing vaccination efforts to begin as soon as the seasonal influenza vaccine is available. To determine the correct vaccine code, you need to know the following: What vaccine was provided, including the brand, Whether the product was trivalent […]
Read MorePayment for vaccine codes is intended to cover only the costs associated with the vaccine itself. To get paid for the costs associated with administering the vaccine, including staff time and supplies, be sure to report a code for the administration. To choose the correct administration code, consider the following questions and consult the table […]
Read MoreAs the old adage goes, your best offense is a good defense—and no one knows that better than the folks responsible for revenue cycle management (RCM). When it comes to rehab therapy billing, getting dinged with claim denials might seem inevitable. But, taking steps to avoid the following four RCM killers will help you shield […]
Read MoreProper credentialing is a crucial step in running a successful physical therapy clinic. If your clinic and therapists aren’t properly credentialed with insurance providers from the get-go, your bottom line might suffer. And it’s not just new clinics that are susceptible to making credentialing mistakes; in fact, any clinic that has gone through a change […]
Read MoreMLN Connects for August 8, 2019 Protect your patients’ identities by using the Medicare Beneficiary Identifier (MBI) now. Starting January 1, 2020, you must use the Medicare Beneficiary Identifier (MBI). We will reject claims you submit with the Health Insurance Claim Number (HICN), with a few exceptions, and reject all eligibility transactions. Fee-for-Service claim exceptions: […]
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