The Billing Blog

benefit verification headaches

End Benefit Verification Headaches!

The New Year means clients change insurance plans. Or the same plan updates benefits. And so the yearly benefit verification headaches begin again! The first quarter of every calendar year is a hamster wheel. Submitting, claims rejecting because policies are

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Stand up to Data Mining in Risk Adjustment

Did you receive an audit requesting records recently? If they’re calling it “Risk Adjustment,” watch out: it could be a legal excuse for data mining. You’ll get these letters if you saw Medicare Advantage, Medicaid managed care, or clients with

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Money maybe and no EOB!

Money Maybe and no EOB!

1980’s Biller Humor: Because I gotta laugh in order not to cry. I want my ERA! Look at Change Healthcare, that’s the way to do it You took away the MFA That ain’t workin’ that’s the way Change do it

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Medicare vs the Mega-Groups: The Clash is Coming…

Like them or loathe them, no one disputes that large venture capital-funded mega-groups have irrevocably altered the business of private mental health practice. But I have an uncomfortable question, one I’m not sure has yet been asked publicly: What happens

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180-degree telehealth flip-flop

Medicare telehealth coding flip-flop!

The Center for Connected Health Policy reported that Medicare issued a “Change Request” earlier this month, amending the Medicare billing manual. On page 18 of the 21-page amendment, Medicare just happened to mention a 180-degree telehealth coding flip-flop in the policy as

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self-sabotage; man tied up in rope

Stop the NPI sabotaging your address change!

Have you ever moved offices and changed your address with the insurance payers – and then mail reverted to your old address? Chances are, the NPI was responsible. And you didn’t even know about it. Here’s why! And there’s something

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