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Evaluation and Management Services

By 2014, Articles by DM, Coding and Auditing
Evaluation and Management Services: Finding the Medical Necessity through Documentation Guidelines By Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CMSCS | July 17, 2014 Earlier this month RACmonitor informed us of the new U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) release encouraging the Centers for Medicare & Medicaid Services (CMS)...
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Employer Mandate Countdown 10…9…8…

By 2014, HR Alerts, Human Resources, Regulatory Compliance
Employer Mandate Countdown 10...9...8 By Philip Dickey, MPH, PHR | July 15, 2014 The Affordable Care Act (ACA) states that large employers and the federal government have a shared responsibility to offer health benefits to employees. Determining if you are a large employer is the first step in understanding your responsibilities under the law. Overall, this continues...
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Affordable Healthcare Prohibition & Penalties!

By 2009, HR Alerts, Human Resources
Affordable Healthcare Prohibition and Penalties! By Philip Dickey, MPH, PHR | June 9, 2014 The Affordable Care Act Prohibits Pre-Tax Employer Reimbursement of Individual Health Policy Premiums. For many years, employers have been allowed to reimburse employees for or directly pay the cost of individual health insurance policy premiums and exclude such amounts from the employee's...
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Fines, Penalties, Recoupments Under Incident-To Services

By 2014, Articles by DM, Coding and Auditing
Fines, Penalties, Recoupments Under Incident-To Services By Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CMSCS | June 5, 2014 Many physician practices insist on using incident-to billing for services rendered by non-physician providers (NPPs) in order to avoid the 15 percent reduction of Medicare’s allowed amount (though often they know little about the required guidelines). Incident-to...
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New Cobra Notices Promote Health Insurance Marketplace

By 2014, HR Alerts, Human Resources
New Cobra Notices Promote Health Insurance Marketplace By Philip Dickey, MPH, PHR | May 15, 2014 New COBRA Notices Promote Health Insurance Marketplace The Obama administration announced on May 2 updates to model notices that employers must provide to employees, informing workers of their eligibility to continue health care coverage through the Consolidated Omnibus Budget Reconciliation Act...
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NAMAS Coding Revolution Demonstration

By 2014, Coding and Auditing, Practice Management Tips, Videos
NAMAS Coding Revolution Demonstration A detailed demonstration of Coding Revolution medical practice billing and coding software presented by NAMAS Auditing, a division of DoctorsManagement. Revolution is the a comprehensive and complete medical code look-up and search engine tool. It can significantly reduce errors. Some of the features include: ● Search across any or all of...
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