Jennifer McNamara

a person taking notes while talking to the patient

Reporting Medical Necessity with Z codes

In this article we take a look at the importance of healthcare reimbursement for asymptomatic encounters. We will look at identifying primary diagnosis requirements that drive reimbursement, how to get paid for postoperative treatment visits and underutilized reporting when it comes to Social Determinants of Health. Medical Practices care for patients for a variety of …

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Breast Cancer Awareness: Diagnosis, Treatment, and Getting Paid

Contributors: Chasity Speaks and Megan Johnson In October we raise awareness for Breast Cancer since it is the second most common cancer that women in the United States face according to the CDC. Every year in the United States, we see cases of about 264,000 in women and 2,400 in men. The mortality rate for …

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Calculating your Lesion and Wound Coding

How are you doing with your Lesion and Wound Repair Coding? Many Physicians across specialties perform skin procedures so it’s important that we understand the proper coding and documentation required. Knowing the guidelines for Lesion Excision and Wound Repair is crucial because at times they are bundled and the calculation methods are very different. Let’s …

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Episode 8: Stay Compliant with Copay Collections

Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act? Today we dive into the Laws and the regulations …

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Navigating the Credentialing Maze

Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company. Objective: Using PECOS and CAQH Importance of Payer Contract Negoatiations Updating Provider Enrollment Inhouse or Outsourcing Please see these helpful links mentioned in the podcast: PECOS Enrollment Checklist CAQH Proview Resources UHC Credentialing Information …

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