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small practice billing

CMS Updates for Telehealth billing

GT Modifier limited to CAH billing Previous guidance instructed providers to submit claims for telehealth services using the appropriate procedure code along with the telehealth modifier GT (via interactive audio and video telecommunications systems). In the Calendar Year (CY) 2017 Physician Fee Schedule (PFS) final rule, payment policies regarding Medicare’s use of a new Place of Service...

Understanding Incident-to Billing

Incident-to Billing for Mid-level Providers The concept of incident-to billing is not new to the industry. Services and treatments are reimbursed at a tiered fee schedule depending on what level of healthcare professional billed for the service. If a physician bills for the service, it would be paid at 100 percent of the fee...

Are ICD10 Denials Haunting Your Organization?

A mere seven months after the panic of the ICD-10 implementation, it appears that many facilities experienced a non-event besides a small number of delays in payment. But, as time has worn on, are those same facilities experiencing a larger number of denials? Some have managed to carefully plan and mitigate risks while other...

Podiatry Practice Billing

Small practice billing for the podiatry practice As a podiatric physician, your goal is to provide patients with the best care and outcomes possible. However, any medical professional must also be a business professional when they operate their own practice or serve as a partner in one. Thus, you have to be aware of...