Practice Manager
Change Healthcare Anticipates No Disruption With MVP Claim Submissions
Change Healthcare is aware the MVP health and Healthsource-Hudson have indicated that EDI services may be potentially disrupted in April 2017. However, Change Healthcare has confirmed that no disruptions are anticipated in your ability to submit claims electronically through the Change Healthcare network and RCM software.
Read MoreDrug Wastage: JW Modifier
New Policy on JW Modifier Effective January 1, 2017, the use of the JW modifier is required for claims with unused drugs or biologicals from single use vials or single use packages that are appropriately discarded. Providers are required to document the discarded drug or biological in the patient’s medical record. The JW modifier is…
Read MoreUnited Healthcare Community Plan – Payer 87726
United HealthCare Community Plan- effective Nov 24, 2016. An EPSDT Visit coding is required for Early and Periodic Screen, Diagnostic and Treatment (EPSDT) Visits. This change is being done in order to become compliant with the State requirements. Claims will be denied if this information is not included when submitting claims for certain CPT and…
Read MoreHow To Stay Profitable As An Independent Practice
In the post-ACA era of health insurance, it’s important to understand how to stay profitable as an independent practice. Courtesy of Physicians Practice, learn strategies such as how to better train your staff, improve communication with patients and which metrics to track in your revenue cycle. Click here to read the full white paper.
Read MoreTwo Computer Monitors For Better Productivity
Did you know that having two monitors on your desktop may increase productivity, reduce eye strain and save paper? By having multiple applications opened at the same time and viewable between 2 separate monitors, you’ll be able to multitask more efficiently between applications whether it is Practice Manager, Clinical or another site (i.e, labs, hospitals,…
Read MoreStandard Glaucoma Codes Claims Denied
Do you see glaucoma patients? Starting October 1, 2016, your standard glaucoma codes may be denied if you haven’t upgraded to our newest 6.1.7 version. For example, you may experience rejection codes such as “Message: – ACK/REJECT INVAL INFO – Diagnosis code. – H51081 ICD10 Code ‘H4011X3’ not valid for date provided“.
Read MorePractice Manager Tip: Custom Account Numbers
Does it bother you to see patient account IDs with letters instead of numbers or vice versa? You can quickly change that! Go to Administration > Utilities > Account Maintenance > Change/Delete. Select the account you want to change by clicking the corresponding lookup icon in the Account to Change field. Then manually type…
Read MorePractice Manager Tip: Patient Billing Dunning Notices
Have you reviewed your Patient Billing “Dunning Notices” lately? Do you know what Dunning Notices are? Dunning Notices are additional messages that appear on patient statements and are customizable! The system automatically progresses* from displaying message 1 to message 2 (etc.) as subsequent statements are generated for the same charge. *This process is dependent on…
Read MoreEntering Claim Adjustment Reason Codes
If you have experienced your electronic secondary claims being denied on Emdeon Vision with the following message or one similar, you will need to start using Claim Adjustment Reason Codes going forward. Message: Service Line COB Information: Invalid; the sum of all Service Line Paid Amounts plus the Service Line Adjustment Amounts for each payer…
Read MoreICD-10 Flexibilities to Expire October 1st
To ease the transition to ICD-10, Medicare allowed certain flexibility when coding based on specificity. Those flexibility exceptions will end as of October 1, 2016. “ICD-10 flexibilities were solely for the purpose of contractors performing medical review so that they would not deny claims solely for the specificity of the ICD-10 code as long as there…
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