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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
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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
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ICD-10 Session 8 - Chapter Three
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re: suture removal help
by TerryC
Wed, Oct/01/2014 04:07PM
re: invega injection given by a nurse and patient left without being seen by the md
by MarlaSinger
Wed, Oct/01/2014 03:58PM
re: suture removal help
by lkwilliams
Wed, Oct/01/2014 03:48PM
suture removal help
by TerryC
Wed, Oct/01/2014 03:15PM
Does Medicare Part B pay for breast reconstruction after mastectomy?
by krissysmash
Wed, Oct/01/2014 02:30PM
invega injection given by a nurse and patient left without being seen by the md
by scantie1
Wed, Oct/01/2014 02:06PM

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