Private third-party payers may or may not choose to accept pharmacists as providers for purposes of compensation for cognitive services. There are some instances in which private insurance carriers have a payer relationship for cognitive services with pharmacists or pharmacies.
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How to Avoid Medicare Audits for ASC Billing Practice?
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Audits are necessary and might not be avoidable all the time. Hence, it is critical for the surgery centers to keep up with Medicare coding rules and guidelines, keep a track of denied claims and monitor audit focus issues, which are published regularly by the contractors. They also need to monitor previous audit results and work on avoiding the issue in the future.
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Differentiating between Medical Necessity and Medical Decision Making
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A firm grasp of the differences between medical decision making (MDM) and medical necessity can improve your claims payment rate, as well as make the external audit process much easier, should an audit occur. MDM is a key component of an E/M service, in addition to history and physical exam.
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How to Control Blood Sugar?
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Lifestyle choices can often help you manage your blood sugar levels. Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight, and getting regular exercise can help.
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Educate Medicare Patients Using MSN
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The Medicare Summary Notice (MSN) is a summary of health care services and items patients have received during the previous three months. MSN is not a bill. This document is intended to help patients remember the physicians, specialties, supplies, and services involved in their care.
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How to prevent AR issues in Hospital Billing?
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Hospital Billing has been one of the worst affected in terms of denials and low insurance payments. On average 4 percent is considered as a benchmark in terms of claim denial but according to doctors association the average in more than 6 percent.
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Preventing Diabetic Complications
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Over time, diabetes can affect any part of your body. The good news is that you can prevent or delay many health complications by taking good care of yourself. Keeping your blood sugar within the target range acceptable to you and your doctor will help you to fight complications.
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Controlling Gestational Diabetes
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In gestational diabetes, blood sugar usually returns to normal soon after delivery. But if you’ve had gestational diabetes, you’re at risk for type 2 diabetes. You’ll continue working with your health care team to monitor and manage your blood sugar.
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All-in-one solution for your Ambulatory Surgical Center (ASC)
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Ambulatory Surgical Center will need to excel in a single specialty and run a very low cost center model to sustain in the future.
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ICD-10 Codes – Type 2 Diabetes Mellitus
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ICD Code E11 is a non-billable code. To code a diagnosis of this type, you must use one of the eight child codes of E11 that describes the diagnosis ‘type 2 diabetes mellitus’ in more detail.
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