How to Take a Break – And Survive!
Share this page: The demands of practice can often be daunting. We know we should take care of ourselves and take a break once in a while. Getting away is not always practical. Overhead is still present, staff doesn’t always keep to our schedule because of family...
Co-pays, Co-insurance & Deductibles
Share this page: Question: The recent increase in deductibles and co-pays has negatively affected my patients and practice. I am out-of-network with most insurance plans. Do I have to collect the full deductible? Is it possible to waive a portion of the co-insurance?...
“All Done” Learning? Think Again.
Share this page: A client made a very insightful observation recently. He told us, “We’ve been in practice long enough that we’re probably way cockier than we need to be.” Anybody out there feel an “ouch” on that one? It’s dismayingly easy to get cocky and fall for...
59 Modifier Comes under Fire in Medicare
Share this page: In an effort to reduce abuse of billing for procedures, the National Correct Coding Initiative (NCCI) edits were developed by the Centers for Medicare and Medicaid Services (CMS). The NCCI edit program is used by all carriers and third party...
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.