NYC Certified MWBE
A Company You Can Trust. Software You Can Use.

goldman sachs laguardia 55hCall Us Toll Free: (888) 265-2547

Yesterday, March 31, 2014, the US Senate voted to approve  H.R. 4302  

the Protecting Access to Medicare Act of 2014. This bill creates a temporary  12 month “fix” to the Medicare Sustainable Growth rate (SGR)    The Sustainable Growth Rate (SGR) was created in 1997 by Congress. It is a system that determines the amount of money that will be budgeted for Medicare payments based on a projected growth of the economy. Within a few years, however the costs for healthcare far outweighed the economic projected growth. The result? A huge deficit in funding for Medicare reimbursements.

Published in Medicare CMS

We are pleased to announce our FREE Training Academy Webinar Series for the Month of September. These sessions are online and FREE. Click for details and join us for our September line up.

Published in HIPAA 5010

"Non-compliant entities will be subject to enforcement action on July 1, 2012"

Two critical deadlines face practices within the next three Days.

  • HIPAA Version 5010 deadline is June 30th. All claims non-compliant entities will be subject to enforcement action on July 1, 2012.
  • Mediare 1.5% payment adjustment for 2013 is for all professionals that do not successfully e-prescribe by June 30, 2012
Published in HIPAA 5010
Friday, 15 June 2012 03:33

ANSI HIPAA 5010 Common Errors

ANSI HIPAA 5010 is here and so are the errors. See the below common ANSI HIPAA 5010 errors and how to fix them:

Published in HIPAA 5010

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.

Published in HIPAA 5010

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.

Published in Billing & Coding Tips