Decoding the Medicare Reporting System
PQRS: The Time is Now!
In today’s practice environment, federal insurance programs require so much attention that you spend as much time trying to figure out what to do as you do in actually getting it done. One of the most asked questions right now is: “What is PQRS and why do I have to be involved?” What the codes mean and when you will utilize them in billing to ensure proper compliance with the program. How to choose the correct codes to report the quality measures performed by your office on Medicare covered services. Quick tips to make the PQRS system efficient and manageable while demonstrating the effectiveness of your care.
P.A.R.T. Medicare Documentation Process
Many doctors are unfamiliar with the P.A.R.T. documentation process and how to implement it in their practice. This module will bring you up to speed on the Medicare utilization guidelines, detailing the P.A.R.T. process and documentation requirements for demonstrating the existence of a subluxation with or without an x-ray.
How to Survive a Post Payment Audit
Due to the increase in post payment audits by the OIG and major insurance companies, it is imperative that doctors and CAs understand how to bullet proof their practices. Doctors, CAs and insurance personnel need to know what auditors look for and, more importantly, what their rights are as health care practitioners. It’s no longer a question of IF your practice will be audited, it’s WHEN. Understanding what auditors are targeting is the first step toward a successful defense.
What You Need to Know About The New CMS-1500 Form
Don't leave money on the table! Receive reimbursement for all funds you’re legitimately due and avoid potential audits and penalties. An essential course on selecting the correct level of E&M service and ensuring documentation supports services provided. Avoid having claims down coded by payers and learn how diagnosis coding and sequencing helps establish medical necessity.