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Net Collection Ratio

The net collection ratio is calculated this way: Cash collections divided by net charges.  Net charges are the difference between gross charges and required government and third party adjustments. Use gross charges, insurance adjustments and cash collections for the same time period. Example:  Gross charges = $3,740,318;  Cash collections = $2,070,275;  Insurance Adjustments = 1,588,554 Net Collections = Gross charges-Adjustments  3,740,318-1,588,544=2,151,764. ...

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CMS: Lot of errors billing psychotherapy services when E/M visit is involved

The Comprehensive Error Rate Testing (CERT) program Medicare uses to assess the accuracy of provider billing has uncovered a big source for mistakes – documentation problems when a patient is receiving psychotherapy services on the same date as an E/M encounter, according to CMS. There are really two takeaways coders and billers need to have to get these services billed correctly on a consistent basis. A big part of it will also involve proper physician documentation. First, there a...

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10 top-notch tips to negotiate payer contracts

With a little hard work and patience, practices can succeed at negotiating stellar contracts with payers, Marcia Brauchler, MPH, CMPE, CPC, CPC-H, CPC-I, CPHQ of Physicians Ally, Inc. told attendees at AAPC’s 22nd annual HEALTHCON conference in Nashville, TN earlier this month.   “[Contracts] represent 100% of the revenue to the practice,” Brauchler said. “Everything comes to your practice via payer agreements. The more time you put into payer agreements, the more ...

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ICD-10 Session 6 - Chapter One of the Tabular List
Nancy Maguire
New Payment Basis for Splints, Casts, and Intraocular Lenses
Codapedia Staff
Clearly separate documentation when appending modifiers -25 and -59
Lisa Eramo
ICD-10 Session 7 - Chapter Two of the Tabular List - Neoplasms
Nancy Maguire
ICD-10 Session 8 - Chapter Three
Nancy Maguire




Correct ICD9 code
by donnaulmer
Wed, Sep/17/2014 05:51PM
re: DX code needed
by rphelps
Wed, Sep/17/2014 05:39PM
DX code needed
by MGE001
Wed, Sep/17/2014 04:21PM
new denials due to PPACA guidelines
by sschwartz
Wed, Sep/17/2014 12:49PM
When doing the single cup urine should anthem and cigna us the same code as Medicare G0434 with modifier qw
by Sharring1
Wed, Sep/17/2014 12:41PM
re: vascular Coding
by abentins
Wed, Sep/17/2014 11:30AM

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