Billing [74], Claims [8], Payer IDs [1], Coding [21], COVID-19 - Coronavirus [17], CPT-codes [6], ICD-10 News on Implementation of ICD-10 | PGM Billing [25], Medicare & Medicaid [21], Physicians & Services [5], Uncategorized [93]
Billing [74] ↑
- January 2023 Bulletin: Billing Reminders Part 2: Secondary Payers
- January 2023 Bulletin: Billing Reminders Part 1 – Eligibility & Benefits
- December 2022 Bulletin - COVID-19 Vaccine Updates
- December 2022 Bulletin - It’s Deductible Season!
- November Bulletin - Medicare Part B & Tetanus Vaccines
- August Bulletin - National Coverage Determination Updates
- August Bulletin - Monkeypox Outbreak - What to Know
- June Bulletin - UnitedHealthcare Updates
- April Bulletin - Google’s AI System Focuses on Healthcare
- April Bulletin - Insurance Updates
- March Bulletin - CMS Announces New Place of Service Code
- March Bulletin - Insurance Company Updates
- February Bulletin - The "No Surprise Act" Causes Confusion
- January Bulletin - Billing Reminders for the New Year
- December Bulletin - CMS Billing Updates for 2022
- August Bulletin - Billing Mistakes - Part III
- PAYER ID CHANGES FOR 2021 - JULY BULLETIN
- Billing Mistakes - Part 1 - June Bullein
- May Bulletin - INSURANCE UPDATES
- APRIL BULLETIN - NEW BILLING LAWS SET TO TAKE EFFECT IN 2022
- APRIL BULLETIN - AN IN DEPTH LOOK AT THE NEW 2021 E&M CODING GUIDELINES
- The American Rescue Plan
- March Bulletin - Coding Updates for 2021
- HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN MERGE
- February 2021 Bulletin - CHANGES TO THE 2021 CPT CODE SET
- COVID-19 UPDATES - January Bulletin
- COVID-19 UPDATE
- December 2020 - Coronavirus News
- It's Flu Season - What you need to know!
- THE AMERICAN MEDICAL ASSOCIATION RELEASES NEW CPT CODES SURROUNDING THE COVID-19 PANDEMIC
- UnitedHealthcare Extends National Public Health Emergency Temporary Program Changes
- CMS Announces Additional HCPCS Codes Related to Lab Testing for Covid-19
- Medicare Provides Guidance on Laboratory Services Consolidated Billing
- Medicare Provides Guidance on Facet Joint Injection Billing
- CMS Publishes January 2017 Medical Billing Errors Newsletter
- Rhode Island Working to Address Surprise Medical Billing
- CMS Increases Definitive Drug Testing Reimbursement
- Keep Out of Hot Water: Watch This False Claims Act Compliance Video
- CMS Updates ESRD Prospective Payment System
- Chiropractic Billing in the Regulatory Spotlight
- Laboratory Medical Billing Compliance Fact Sheet for Urine Drug Screening
- Medical Billing Outsourcing on the Rise: 5 Contributing Factors
- CMS Publishes October 2016 Medical Billing Errors Newsletter
- CMS Issues Reminder About Billing Correctly for E/M Services
- ASCP Pushes CMS to Revise Proposed Rule on Pathology Billing Changes
- CMS Publishes Video on Psychotherapy and Psychiatry Billing
- CMS Publishes Video on Medicare Billing for Lumbar Spinal Infusion
- American Society for Clinical Pathology Issues Recommended Pay Rates for New Lab Tests
- Chiropractic Billing News: CMS Denying Significant Number of Claims
- CMS Releases Final Rule on Lab Billing and New Payment System
- Complimentary Webinar on Comparative Billing Report on Psychotherapy and E/M Services
- New Case Study: Laboratory Outsources Medical Billing to PGM
- CMS Issues Reminder on Medicare Payment for Positive Airway Pressure Devices
- Happy Medical Biller's Day!
- CMS Publishes Series of Chiropractic Billing Resources
- CMS Publishes Final Rule on Self-Identified Medicare Overpayments
- Insufficient Documentation Triggering Improper Payments for Laparoscopic Hernia Repair
- CMS Issues 2016 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
- PGM and ICANotes Publish Whitepaper on Outsourced Billing for Mental Health
- Medicare Increases Payments for Incomplete Colonoscopies
- 10 Tips for Complying With Laboratory Services Documentation Requirements
- PGM Billing to Attend Lab Institute 2015
- Medicare Identifies Improper Payments Associated With Extracorporeal Shock Wave Lithotripsy
- 17 FAQs About Billing Medicare for Chronic Care Management Services
- Medicare Identifies Most Common Causes of Improper Payments for ESRD-Related Services
- Chiropractors: Expect Greater Scrutiny From Payers Following Improper Payments Report
- Understanding How to Code and Bill for Transcatheter Mitral Valve Repair
- CMS Developing Oncology Bundled Payment Model
- In Case You Missed It: OIG Planned Areas of Focus Includes ESRD Bundled Payments
- Federal Regulators Paying Close Attention to Laboratory Billing
- Free Mental Health Resource: Tips and Strategies for Billing From SPRC
- CMS Releases Free ICD-10 Online Resource for Small Practices
- 8 Statistics on EHR Adoption
- Billing Tip: Ensure Visits Billed as 'Incident To' Meet Medicare Criteria
Claims [8] ↑
- June Bulletin - UnitedHealthcare Updates
- March Bulletin - CMS Announces New Place of Service Code
- February Bulletin - The "No Surprise Act" Causes Confusion
- It's Flu Season - What you need to know!
- CMS: New Drug Testing Laboratory Codes Editing Incorrectly
- Medicare Announces Adjustment to Claims With Codes G0473 and 77063
- Medicare Issues Reminder on Submission of Duplicate Claims
- #1 Physician Complaint About Payers: Claims Denials
Payer IDs [1] ↑
Coding [21] ↑
- November Bulletin - Medicare Part B & Tetanus Vaccines
- November Bulletin - 2023 E/M Coding Updates
- July Bulletin - CPT Code Updates Coming Fall 2022
- October Bulletin - 2022 CPT Code Updates Announced
- APRIL BULLETIN - AN IN DEPTH LOOK AT THE NEW 2021 E&M CODING GUIDELINES
- March Bulletin - Coding Updates for 2021
- It's Flu Season - What you need to know!
- New CPT Code Issued for Influenza Billing
- CMS Revises JW Modifier Use Policy
- Do You Understand the New Modifier -CT Reporting Guidelines?
- Free Oncology Billing and Coding Resource: 2016 Update From ASCO
- Improve Your Coding in 2016: 5 Tools to Use
- 4 ICD-10 Changes to the Laboratory National Coverage Determination Edit Software for January 2016
- CMS Issues 2016 HCPCS Update
- CMS Discusses Payment Errors Associated With Co-Surgeon Modifier -62
- FAQs About CPT Coding and Reimbursement for Psychiatrists
- Latest Issue of ACR Radiology Coding Source Includes Guidance on Lung Cancer Screening, Modifier Use
- AAP Addresses Question on Coding for Behavioral Assessment vs. Developmental Assessment
- CMS Issues Clarification on Continued Use of Modifier -59
- Medicare Provides Guidance on Proper Coding of Facet Joint Injections
- Certified Medical Coder Salaries Now Average More Than $50,000
COVID-19 - Coronavirus [17] ↑
- December 2022 Bulletin - COVID-19 Vaccine Updates
- July Bulletin - COVID-19 CPT Code Updates
- June Bulletin - COVID-19 Vaccine Updates
- February Bulletin - Stay Up-To-Date on COVID-19 Vaccine Coding
- January Bulletin - COVID-19 Updates
- December Bulletin - COVID-19 Updates
- October Bulletin - COVID-19 Vaccine Updates
- September Bulletin - COVID-19 Updates - Part 2
- September Bulletin - COVID-19 Updates - Part 1
- AUGUST BULLETIN - THE COVID-19 DELTA VARIANT
- COVID-19 VIRUS UPDATE - June Bulletin
- USDA COVID-19 VACCINE UPDATES - May Bulletin
- The American Rescue Plan
- March Bulletin - COVID-19 Vaccination Update
- COVID-19 UPDATES - January Bulletin
- COVID-19 UPDATE
- December 2020 - Coronavirus News
CPT-codes [6] ↑
- February 2021 Bulletin - CHANGES TO THE 2021 CPT CODE SET
- November Bulletin - UnitedHealthcare’s COVID-19 Response - Update
- THE AMERICAN MEDICAL ASSOCIATION RELEASES NEW CPT CODES SURROUNDING THE COVID-19 PANDEMIC
- 2016 CPT Gastroenterology Coding Sheets: Colonoscopy and ERCP
- AMA to Create New CPT Codes for Telehealth Services
- Guidance for Psychologists on 2015 CPT Coding Changes
ICD-10 News on Implementation of ICD-10 | PGM Billing [25] ↑
- Reminder: ICD-10 'Grace Period' Ends October 1
- CMS Publishes New FAQs Regarding ICD-10 Flexibilities
- AHIMA Pushes for Revisions to New ICD-10 Codes
- Ready to Prepare for ICD-10 Again? Thousands of New Codes are Coming.
- ICD-10 'Next Steps' Toolkit: Free Download
- CMS Reviews Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims
- CMS Denies 10% of ICD-10 Claims
- ICYMI: PGM Publishes ICD-10 Code Crosswalks
- Top 5 ICD-10 Benefits
- Top 5 ICD-10 Risks
- Chiropractors: Check Out These ICD-10 Myths and Facts
- Becker's ASC Review Covers PGM Announcement of New ICD-10 Codes Lookup Engine
- CMS Publishes FAQs Regarding ICD-10 Flexibilities
- CMS to Host 'Countdown to ICD-10' Provider Call
- Now Available: Free ICD-10 Resources for Medicare Providers
- Breaking News: ICD-10 Transition to Include One-Year Grace Period
- ICD-10 Orthopedic Coding and Billing
- Free ICD-10 Resource and ICD-10 Case Studies
- ICD-10 Allergy and Immunology Coding Resources
- Last Chance to Volunteer for ICD-10 End-to-End Testing
- Free ICD-10 Coding Resources: ICD-10 Conversion Tool and Practice Quizzes
- Free Training Course on ICD-10 Diagnosis Codes
- 13 ICD-10 Facts and Myths – ICD-10 Information
- CMS Releases Two New Free ICD-10 Videos
- Free Webinar: ICD-10 Implementation and Medicare Testing
Medicare & Medicaid [21] ↑
- December Blog - Changes Coming to Medicare in 2021
- December 2020 - Coronavirus News
- 6 Things About Data Reporting for Clinical Laboratories to Know
- Gastroenterology Billing Compliance: Enteral Infusion Pumps
- Medicare Awards New Contracts for Recovery Audit Contractors
- Medicare Releases 2017 Ambulatory Surgery Center Payment Final Rule
- Free Webinar: Clinical Diagnostic Laboratory Test Payment System
- CMS Releases Laboratory Billing Compliance Fact Sheet
- CMS to Allow Provides to 'Pick Their Pace' for MACRA Quality Payment Program Compliance
- CMS Issues Reminder About Reporting Medicare Enrollment Changes
- Hundreds Face Healthcare Fraud Charges for $900 Million in False Billing
- CMS Publishes Revised Telehealth Services Fact Sheet
- OIG Report: $76 Million in Questionable Medicare Payments for Chiropractic Services
- Register for Tomorrow's Clinical Diagnostic Laboratory Test Payment System National Provider Call
- CMS Proposes New Medicare Clinical Diagnostic Lab Tests Fee Schedule
- Report from Lab Institute 2015: Significant Penalties for Noncompliance with PAMA
- CMS Provides Clarification on the Use of Modifiers When Billing “Wrong Surgery on a Patient”
- Congress Passes Repeal of Sustainable Growth Rate Payment Formula
- Upcoming Free Webinar: Medicare Basics for New Providers
- American Chiropractic Association Publishes New PQRS Reporting Resources
- CMS Releases New Version of Ambulance Fee Schedule Fact Sheet
Physicians & Services [5] ↑
- May Bulletin - Infectious Disease in the U.S. – Part 2 Monkeypox
- May Bulletin - Infectious Disease in the U.S. – Part 1 H5N1 Bird Flu
- December 2020 - Coronavirus News
- PGM Profiled in Becker's for Revenue Cycle Management Services
- What is Revenue Cycle Management?
Uncategorized [93] ↑
- BILLING MISTAKES – PART II – JULY BULLETIN
- November Bulletin - UnitedHealthcare’s COVID-19 Response - Update
- First Enforcement Action for Improper Marketing of SARS-CoV-2 Antibody Tests (JUNE 25, 2020)
- Why You Need to Embrace Electronic Medical Records For Your Clinic
- Top Challenges Facing Labs Today: 4 Key Takeaways From Lab Institute 2017
- Clinical Diagnostic Lab Tests Payment System Final Rule: FAQs from CMS
- CMS Offers Free Listening Session on Quality Payment Program Proposed Rule
- CMS Announces Plans to Modify Meaningful Use Requirements
- New -59 Modifier Subsets Go Into Effect
- OIG's 2015 Planned Areas of Focus Include Ambulatory Surgery Centers, Anesthesia and Chiropractic Services
- Highlights of Policy and Payment Changes to the Medicare Physician Fee Schedule for 2015
- Here's Another Opportunity to Volunteer for ICD-10 End-to-End Testing
- New Legislation Aims to Improve Medicare Chiropractic Documentation
- Coding Guidance for Smoking Cessation Counseling
- CPT Changes for 2015: What Radiation Oncologists Need to Know
- Becker's ASC Review Publishes Report on PGM Billing's CPT Code Tool
- Free Orthopedic ICD-10 Resources
- Register for Free Conference Call on Changes to Physician Quality Reporting Programs
- Significant Developments for Gastroenterology in Medicare's 2015 Final Rules
- Free Medicare Resource: Appeals Process Podcast
- American Academy of Family Physicians Publishes Summary of 2015 Medicare Physician Fee Schedule
- Medicare's Final 2015 ASC Payment Rule Adds 11 Spine Procedures to Payable List
- Reminder: Register for CMS 'Transitioning to ICD-10' Conference Call
- Medicare Provides Guidance on Billing for Implantable Automatic Defibrillators
- Key Points Of The Health Care Reform Bill
- AAO-HNS Addresses Coding for Implantation of a Hypoglossal Nerve Stimulator
- Free Chiropractic Billing Resource: American Chiropractic Association Webinar on ICD-10 Implementation
- CMS Releases 2015 Pain Management CPT Code Changes
- CMS to Host 'Transitioning to ICD-10' Conference Call
- CMS Establishes Four New Modifiers to Define Subsets of -59 Modifier
- CMS Establishes New Physician Specialty Code for Interventional Cardiology
- CMS Adds 3 New FAQs on Electronic Health Record Incentive Programs
- Proper Modifier -59 Use for Postoperative Pain Management by Anesthesiologists
- Free Otolaryngology Coding Resource: Q&As on Flexible Laryngoscopic Procedures From AAO-HNS
- Same-Day Billing Guidelines for Mental Health Services
- Free Emergency Medicine Billing Resource: 'ICD-10 For the Busy Emergency Physician' Manual
- What Does a Medical Laboratory Technician Do?
- Top Billed Chiropractic Codes: ICD-9 to ICD-10 Conversion
- Oct. 1, 2015 Confirmed as ICD-10 Compliance Date
- Primary Care Physicians Could Soon Bill for Chronic Care Management Services Separately
- CMS Offers Guidance on ICD-10, Dual Coding and Dual Processing
- CMS Issues 2015 Proposed Payment Rule for Ambulatory Surgery Centers
- FAQs About Medicare Coverage of Chiropractic Services
- CMS Assigns Physician Specialty Designation for Interventional Cardiology
- Free Chiropractic Billing Resource: American Chiropractic Association's FAQs About Medicare Program
- CMS Updates MLN Matters Article on Proper Modifier -59 Use
- Mental Disorder ICD-10 Coding Changes
- Most Frequently Reported Claims Denial Reason Codes by Payer
- Dermatology World Column Discusses Billing Medicare for 'Incident To' Services
- Free Urology Coding and Billing Resource: American Urological Association's Urological Surgery Procedures Q&A
- Medicare Report: Modifier -51 Misuse Leading to Underpayments
- CMS Expected to Provide ICD-10 Implementation Guidance Soon
- Medicare Identifies Numerous Improper Payments Associated With Psychiatry and Psychotherapy Codes
- 4 Top Trends in Pathology Billing and Coding
- Transition From ICD-9 to ICD-10 Delayed to 2015
- History of Chiropractic Care
- Medicare Increases Scrutiny of Anesthesia Billing
- Vintage Medicare Poster from 1968
- Wrongful Denial of Health Claims Harms Providers and Patients
- New Case Study: Psychiatry Practice Outsources Medical Billing to PGM Billing
- AMA Study: Estimated ICD-10 Implementation Costs Increase Significantly
- American Academy of Dermatology Provides Free Resources on 2014 Medicare Physician Fee Schedule
- Surgery Centers: Are You Ready for ICD-10?
- CMS Publishes Educational Resources for Chiropractic Services
- Medicare Increases Scrutiny of Billing E/M Services With Allergy Testing or Allergy Immunotherapy
- New Case Study: Urology Practice Outsources Medical Billing to PGM Billing
- Gastroenterology Coding Receives Significant Revisions for 2014
- The Importance of Claims Scrubbing: Q&A With Roey Hine of Physicians' Group Management
- Free EHR Resource: 'EHR Contracts: Key Contract Terms for Users to Understand'
- MedPac Report: Physician Practice Expenses Far Exceed Medicare Rates
- PGM's Credentialing Specialist Justine Marquard Contributes Credentialing Article to Becker's ASC Review
- 10 Best Practices to Ensure Successful Credentialing
- New Case Study: Concierge Practice Outsources Medical Billing to PGM Billing
- New Case Study: Allergy Practice Outsources Medical Billing to PGM Billing
- Physical Therapy Services Facing Reimbursement Cuts
- ICD-10: Are You Preparing for the Switch?
- Be Prepared: Commercial Payors May Look to Slash Pathology Reimbursement
- What Does The New Healthcare Reform Bring for Physicians?
- Payor Mix and Fee Schedule Examination
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- Red Flag Rule Deadline Postponed
- Notice of Proposed Rulemaking for HIPAA Privacy Released Yesterday by OCR
- Medicare EHR Incentive Payments: Registration Now Open!
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- Medicare Advantage Disenrollment Period – Until 14th February Instead of 31st March
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