Medicare has revised the Advanced Beneficiary Notice of Non coverage (ABN),Form CMS-R-131. This form is required by physicians,, practitioners and suppliers when Medicare payment is expected to be denied. As of January 1, 2012 Only the Revised Form is acceptable. To Download the form and receive full Instructions, Read More about Revised ABN on CMS website: http://www.cms.gov/BNI/02_ABN.asp The complete CMS ABN manual is available at: http://www.cms.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf  

“5010 keeps changing”

Many practices and medical billers have seen that flu shot CPT code 90658 is no longer being paid. Claims are being rejected. “Why am I not getting paid for Flu Shots from  Medicare?” What changes to medical billing and coding have been made by CMS (Center for Medicare and Medicaid Services) ? There are now five separate HCPCS codes that must be used to appropriately bill Medicare. To receive reimbursement these codes must be used in your medical billing . [...]

Managing a medical practice has never been more difficult.  Between the highly competitive environment and increasingly tight margins, revenue management has become acutely important.  Profitability – even survival – requires that practices are run in an efficient, business-like manner.  And management decisions need to enhance both health outcomes and business operations.   Industry trends show an increasing number of practices are making the switch to outsourcing their medical billing rather than maintaining in-house billing departments.  [...]

What is 5010 compliance? If your practice doesn’t know or you haven’t begun to prepare for this critical change, please read on. In less than 80 days new HIPAA 5010 standards will go into effect. The United States Department of Health and Human Services (HHS) has mandated that all providers, clearinghouses and healthplans use a new standard in electronic transactions called HIPAA 5010 or ANSI 5010. Electronic transactions include but are not limited to electronic [...]

Thinking about starting a business?  Wish you were self-employed?  The medical billing industry needs you.  What is medical billing?  Just as with any business, keeping accounts straight and up-to-date, from the time a patient is treated through receipt of payment, brings in the money to keep things going.  Medical billing specialists “bird-dog” the process from start to finish, to ensure claims are complete and accurate, submitted quickly and payments are collected on time.   It’s [...]

The future of healthcare is changing and doctors need skilled professionals help navigate the business of ANSI 5010, ICD 10, Electronic Health Records, E-Prescribing. Vanessa Best, Principal of Precision was invited to participate in the 1st Annual Women in Business Economic Empowerment Summit in NYC. 

Vanessa Best of Precision HealthCare Consultants was invited to a meeting at the Office of US Senator Kirsten E. Gillibrand as part of “Small Business Working Group” March 15 2011