Blog

October 21, 2013
The Importance of the CO-109 & CO-45 Denial Codes

Healthcare revenue cycle management is complicated. With ICD-10 looming on the horizon, it doesn’t look like ...

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October 21, 2013
ICD-10. Are you ready?

It’s everywhere.  ICD-10.  Are you ready? Are you ready for the transition?  So apparently we have ...

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October 21, 2013
CMS Data on Charges

It is Mother’s Day and I find myself in a wonderful position to have some all ...

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October 21, 2013
ICD-10… PCMH… EMR Optimization… ACA 2014 Impact… Meaningful Use… Who’s on First?

ICD-10… PCMH… EMR Optimization… ACA 2014 Impact… Meaningful Use… Who’s on First? It never stops.  New ...

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October 21, 2013
Key Findings in a CHC Fee Schedule Review that will Improve Revenue Capture

Optimizing reimbursement is on the forefront of revenue cycle management.  Have you asked yourself or your ...

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October 21, 2013
Concerned about ‘Patient Experience’? Fix your Revenue Cycle Process

We have all been patients at one time.  Watching over the revenue cycle gives us a ...

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October 21, 2013
Is Compliance Risk Real?

Yes, the risk is real.  As you work through your day to day operations, managing a ...

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October 21, 2013
CMS Chapter 13 Reorganization

Every Spring and Fall I reorganize my closet.  Although I do get some satisfaction from the ...

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October 21, 2013
Sequestration Impact on CHCs… Can you afford to not maximize every potential dollar?

After reading the Geiger Gibson /
RCHN Community Health Foundation Research Collaborative Policy Research Brief # 32, ...

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October 21, 2013
Maximzing OB-GYN Revenue with Medicaid Reimbursement

CHCs have the opportunity to maximize Medicaid reimbursement for obstetrical care due to the unique encounter ...

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October 21, 2013
The Importance of Proper Coding at Your CHC

You hear it so often you start to believe it is true….coding at a CHC…it just ...

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October 21, 2013
Medical Necessity and Documentation

Anyone who has been through compliance training regarding documentation and coding of physician services has learned ...

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October 21, 2013
Benefits of Preventative Health Care

In 1736 Benjamin Franklin said “An ounce of prevention is worth a pound of cure.” Even ...

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October 21, 2013
What if you didn’t have the grant money?

With today’s political climate, one thing is certain… there are a lot of uncertainties.  “Regime change” ...

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October 21, 2013
Medicare ABN in a Nut Shell

Too many CHCs see too few Medicare patients to become truly expert at all aspects of Medicare’s ...

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October 21, 2013
Preventing Dental Disease in Young Children- and Getting Paid for It!

Dental caries (tooth decay) is a chronic, progressive, multi-factorial, infectious disease that can begin in early ...

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October 21, 2013
Testing: The critical step in transitioning from manual to electronic processes

We become very accustomed to ‘the way we’ve always done it’ yet research and implementation of ...

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October 21, 2013
Vague State Statutes… Conservative Interpretation of Federal Policy is the Answer

It happens all too often. A CHC searches the state Medicaid site for policy clarification and ...

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October 21, 2013
The Role of The Dental Safety Net In Ensuring Access To Oral Health Care

Good oral health is a critical, but often overlooked, component of overall health and well-being.  Oral ...

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October 21, 2013
HealthCare Reform Upheld by SCOTUS… What’s a CHC to do?

After much debate, universal healthcare is here… or is it? Only time will tell what reality ...

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October 21, 2013
Unintended Consequences of Keeping All CHC Jobs “Local”

CHCs exist to provideservice to the local community. That’s not news. It’s a simple fact. This ...

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October 21, 2013
Compliance…Staying the course through rough waters

Long before “compliance” was a field in which one could create a career; long before the ...

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October 21, 2013
Key Peformance Indicators: Net AR & Payment Percentage

What are the two things you should absolutely be looking at each month to determine how ...

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October 21, 2013
Does the Billing Department Play a Role in EMR Implementation?

Short answer, most definitely.  The benefits of EMR are not fully realized when it is used ...

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October 21, 2013
CHC and Healthcare Front Desk Optimization

So another day and another batch of denials received in billing. Yet again, most of the ...

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October 21, 2013
Do Nurse Visits Count as Encounters?

It really doesn’t matter where we speak or to whom we are speaking, at EVERY PMG ...

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October 21, 2013
Unwillingness Vs. Inability to Pay

All CHCs struggle to balance the provision of unmitigated access to under- or un-insured patients while ...

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October 21, 2013
Identifying payers by plan type

Identifying payers by plan type – setting the right expectation or administrative nightmare? Practice management systems ...

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October 21, 2013
MACs, RACs, OIG, ZPICs, CERTs and the HEAT….Who’s watching you?

When we think of Fraud and Abuse auditing most of us think of the OIG or ...

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October 21, 2013
Excluded Providers

By this time, most CHCs have a compliance plan. Maybe it’s not the plan you dreamt ...

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October 21, 2013
5010 vs Revalidation

Is 5010 to blame for a decline in your Medicare revenue?  It is certainly no secret ...

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October 21, 2013
Reassignment of Benefits – OIG Alert

Providers reassign Medicare and other third party benefits all the time. That is, they hand over ...

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October 21, 2013
5010 Transition

As everyone by now knows, there are serious issues facing the Community Health Center community.  These ...

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October 21, 2013
Federal Poverty Level (FPL) Guidelines

Another year and another change with most recently updated Federal Poverty Level (FPL) guidelines. It’s not ...

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October 21, 2013
Prompt Payment Policies: What CHC’s Need to Know

Community Health Centers promote and expand access to high quality primary health care to an underserved ...

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October 21, 2013
What is Locum Tenens? Locum Tenens Explained

Without a doubt, there are few CHC topics which seem to generate as much confusion as ...

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October 21, 2013
Payer of Last Resort (PLR) for CHC Billing

Anyone familiar with CHC healthcare knows the front desk is a pivotal place. From patient reception ...

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October 21, 2013
Breaking News: Congress approves temporary fee fix, avoids 27% Medicare pay cut

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