Tag: Learning Opportunities

Effective January 1, 2007, the Centers for Medicare and Medicaid Services (CMS) implemented Medically Unlikely Edits (MUEs) to reduce the Paid Claims Error Rate for Part B claims. These edits are designed to minimize errors that occur due to clerical entries and incorrect coding based on anatomic considerations, CPT/HCPCS code descriptors, among others.

Previously called Medically Unbelievable Edits or MUEs, these apply only to the services specifically listed in the table of MUEs, as such, all services do not have MUEs associated with them. m.

Just as the National Correct Coding Initiative (NCCI) edit, the MUE edit is an automated prepayment edit that does away with incorrect payments. But unlike national CCI edits which pair different codes, these MUEs limit the number of units of a specific code that one can report for the same patient on the same day.

Understanding MUEs might be difficult at times. Sometimes denials associated with MUEs might just drive you crazy.

So what do you do when you encounter unfair denials?

By attending audio conferences, you’ll get the opportunity to learn MUE appeals strategies. When you attend an MUE appeals conference, you’ll get an idea on how to include MUEs in your billing process, understand why your claims for appropriate services are denied based on an MUE, and of course know how to appeal the denial successfully, among a host of other information regarding medically unlikely edits.

What’s more is that, you can also put to rest all your queries regarding MUEs by participating in an interactive question and answer session that are part of the audio conferences.

The best part about these conferences is that even if you miss out on attending them, you can always get a CD recording of the entire event which will be as informative and useful as attending the actual conference.

Offers healthcare audio conferences and advanced Learning Opportunities for MUE appeals strategies MUEs in your billing process through all types of exceptional series of training CD’s, DVD’s & Tapes.

If your anesthesia claims are not capturing the reimbursements you deserve, here are some coding tips that you can use to dispel your denial blues.

Beware of messy bundling for anesthesia services

Most anesthesia services are bundled with other services. You need to stay up to date with the most current CCI edits.

Match your modifiers to avoid misuse

Your practice needs a checks-and-balances system to make sure all claims are correct.

For example: your physician provides a service bilaterally and includes modifier 50 on the claim. Often you will include the modifier, but appending it should not be reflexive. There are CPT codes which already represent bilateral services

To get more tips on ways to do away with your anesthesia denials, you’ll do well to attend anesthesia audio conferences. In fact there are audio conferences on anesthesia slated for this year that you can make good use of. Such conferences will provide you top coding and billing secrets so that you get your anesthesia claims paid more accurately and quickly.

When you attend live audio conferences, you can get your queries clarified from the speaker during an interactive question-and-answer session. Whether you’re an anesthesiologist, CRNA, anesthesia biller, coder, administrator, or collector, all stand to gain from such conferences.

Moreover, these sessions are designed keeping your tough schedules in mind so that even if you’ve missed out on one, there are CDs recordings and electronic transcripts available, to run you through the entire event.

Go for audio conferences and get more insight on getting your anesthesia payments right.

Offers healthcare audio conferences and advanced Learning Opportunities about anesthesia claims for medical coders and billers, in the health insurance company claim processors through all types of exceptional series of training CD’s, DVD’s & Tapes.

The medical coding industry survives on reimbursements. As a medical coder, your practice’s reimbursements depend on how accurately you are able to apply the appropriate CPT, ICD-9, and HCPCS codes. What’s more, you have to keep up with the updates and modifiers to code for every procedure or service performed.

Coding books can help, but books cannot always guide you through the repeated coding and compliance updates or trick-life coding scenarios, but medical coding conferences and audio conferences can.

In fact, attending an audio conference is the best way to get access to up to the minute coding tips and compliance news without leaving the comforts of your place. Normally such conferences cover a whole range of medical specialties including cardiology, emergency medicine, orthopedics, ophthalmology, among others.

When you attend a coding audio conference, you’ll reap the following benefits:

You’ll get to boost your coding knowledge
You’ll get up-to-the minute industry updates on your specialty
You’ll earn CEUs to keep your certification current
You’ll stay clear of claim denials and maximize your reimbursement with proven solutions
You’ll be able to speak directly with these expert speakers during the live question & answer sessions to fix all your complex medical coding dilemmas
You don’t even have to leave your office to attend these coding conferences
You can always fall back on CDs to run you through the entire audio conference in case you’ve missed out on one

These audio conferences give you the real solution to your coding issues. So register for one today and see the difference it makes to your coding career.

Offers healthcare audio conferences and advanced Learning Opportunities about medical coding conferences for medical coders and billers, in the health insurance company claim processors through all types of exceptional series of training CD’s, DVD’s & Tapes.

An anticoagulant is a substance that prevents blood from clotting. Anticoagulation therapy is extensively used to prevent and treat thromboembolic disorders. The four most common conditions for which anticoagulant therapy are used are atrial fibrillation, pulmonary embolism, deep vein thrombosis, and mechanical heart valves.

The first report of the clinical use of warfarin as an anticoagulant was made in 1941. Over the last few years, big changes have taken place in the area of anticoagulation management. New strategies have come into the picture and new indications have been identified for existing anticoagulants. s.

Anticoagulation management throws open a lot of challenges for coders and billers. Although AMA has specific codes for these services, Medicare still does not recognize them. So how do you get to know the right coding and billing options for anticoagulation management? And are you getting your rightful payment for anticoagulant management? If you’re not getting them, don’t give up.

Attend audio conferences and get the reimbursements you deserve for anticoagulation management. When you attend such conferences, you’ll hear smart ideas on how to deal with payers so that you don’t miss out on the monetary benefits. Other than that, theses conferences will teach you ways to avoid the top 5 compliance risks. If you have queries pertaining to anticoagulation management, you can go right ahead and ask the speaker.

These audio conferences are beneficial for coders, billers, and office managers in family practice, nurses, internal medicine, office managers, and others.

Moreover, the best thing about such conferences is that even if you miss out on one, there are CDs to take you through the entire event.

So go for an audio anticoagulation management conference and know how to stay away from problems that clot your anticoagulation management.

Offers advanced Learning Opportunities about anticoagulation management and anticoagulation management conference for medical coders and billers, in the health insurance company claim processors through all types of exceptional series of training CD’s, DVD’s & Tapes.