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Modifier 59: Reduce Denials, Head Off Audits and Get Paid, Earn 1 CEU!
You can't afford to keep putting modifier 59 on every multiple code claim — insurers have taken notice of this improper use and started invoking huge penalties. Yes, doing your due diligence to...
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Protect Against Employee Marijuana Impairment Errors & Lawsuits
More often than ever, employees are testing positive for marijuana at work. And in states where marijuana is legal, your ability to protect your patients and practice from impairment-related errors is...
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Avoid Medical Record Destruction Mistakes and $50,000 Fines
Fail to comply with the 2024 medical records destruction rules, and you’ll lose up to $50,000 per penalty. To make matters more complicated, the Supreme Court clarified the False Claims Act statute of...
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Medicare PECOS 2.0: Prepare Your Practice Now for Launch
The PECOS 2.0 site will significantly change how you enroll and validate your Medicare providers. You can access a sneak peek of the new system that will help you get ahead of the PECOS 2.0 launch and...
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PECOS: Master CMS Surrogacy Enrollment Requirements
CMS specifically prohibits you from using your provider’s PECOS (Provider Enrollment, Chain and Ownership System) login to manage, verify, update or authorize their Medicare enrollments. Instead, the...
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855I Medicare Enrollment Form, Master New Changes to Get Paid
CMS has once again updated its 855I provider enrollment form, and you can’t afford to miss the changes if you want to collect for your providers’ services. The physician enrollment process has been...
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3-Part Series: Insider Medicare Provider Enrollment Tips to Collect Pay Faster
Getting your providers enrolled in Medicare and making sure that their credentialing is managed accurately and on time can be a massive headache. It almost seems like Medicare makes provider...
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3-Part Series: How to Eliminate Bullying, Reduce Drama, and Master Tough...
Did you know that 75% of employees have experienced workplace bullying at some point in their careers? Or that nearly 60% of workplace conflicts remain unresolved, costing medical practices, like...
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2025 ICD-10-CM Codes: More Easily Meet Oct. 1st Deadline
The recently released ICD-10-CM codes for 2025 include over 250 code additions, changes, and deletions. You must correctly incorporate the 2025 diagnosis code changes by October 1st or risk...
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Stop ChatGPT from Increasing Practice Compliance & Legal Risks
Whether you know it or not, your practice staff ARE using ChatGPT’s artificial intelligence (AI) tools to make their lives easier and more productive. Although this sounds great, its use opens your...
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Stop Avoidable Balanced Billing Errors Due to Recent Law Changes
Important: Updates to Balanced Billing Laws Demand Your Immediate Attention Balanced billing rules have changed. Even simple compliance mistakes can lead to staggering violation penalties and jail...
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Stop New G2211 Edits from Costing You Thousands in E/M Revenue
This is important. Unless you know what to do, two major coding changes will severely impact the thousands in additional E/M reimbursement you’ve been receiving this year due to code G2211:...
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Subpoena Release of Medical Records: Avoid Costly Response Errors
Letting your guard down—even for a moment—when it comes to responding to a subpoena for the release of medical records can have dire consequences for your practice. Understand the Risks Not all...
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Comply w/NEW Substance Use Disorder Patient Record Regs
New federal regulations significantly limit your use and disclosure of patient information when there is a diagnosis of substance use disorder (SUD) anywhere in their medical record, regardless of why...
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Protect Against Legal/Financial Consequences of Workplace Bullying
Workplace bullying can wreak havoc on your practice—unless you tackle it head-on. This is not just dramatic talk. Research shows that workplace bullying leads to poor employee morale/health, higher...
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Stop Errors & Boost Pay for Telehealth Services for Mental Health
Telehealth services for mental health can add a significant amount of money to your practice’s bottom line, but there is a catch. You must be able to cut through the confusion of conflicting coding...
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Master Difficult Conversation Skills to Improve Employee Performance
Having a difficult conversation with an employee is probably at the bottom of the things you like about your job. However, as a manager, you really don’t have a choice. Your practice depends on you to...
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Head Off Provider Credentialing Headaches with Proven Tracking Tools
Accurate credentialing and enrollment tracking is crucial for your providers to get paid. One mistake or missing piece of information can halt payments. Managing payer credentialing, updating hospital...
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Negotiate Higher-Paying Third-Party Payer Contracts
Third-party payers don’t want you to know the truth. They don’t want you to know that you CAN get paid more and that it’s easier than you might think. Payers have one goal in mind – to pay you less....
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3-Part Series: Expert Managed Care Contract Negotiation Tactics
Negotiating managed care contracts may make you feel like you’re talking to a brick wall. Unfortunately, insurers want you to feel that way, because if they stonewall you, the odds that you’ll simply...
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