Right out of the gate, Medicare Incentive-based Payment System (MIPS) adjustments were incorrectly applied to non physician services and supplies. This error is being corrected by the Centers for Medicare & Medicaid Services (CMS), but what if no one caught it? MIPS eligible clinicians and clinician groups could have improperly lost or gained considerable revenue. […]
Effective appeals often hinge on how you present your case to the insurance carrier. Here are essential guidelines to ensure your appeals are successful: Be Prepared: Anyone representing your case in an appeal—whether it’s a coder, biller, office manager, or provider—should be well-informed and equipped with detailed information. They should be capable of discussing the […]