It seems our latest audit has caught a glitch in Medicare Immunohistochemistry (IHC) payments. We found that Cahaba GBA, which serves as the Medicare administrative contractor for Alabama, Georgia, and Tennessee, is denying claims for CPT code 88341 as multiples,...
By Jessica Jankowski, Senior Practice Manager Vachette Pathology Since January 2014, there are more and more issues coming out of the woodwork with FSH billing and reimbursement. Earlier this year, we saw United Health Care (UHC) create their own application of an...
By: Mick Raich, former President, RCM Solutions We have worked with 86 different revenue cycle entities over the past 12 years. From hospital CBO’s to large national firms to small firms with only two clients. There are certain trends we see whenever a billing firm...
In January 2014, we identified a high number of denials from Florida Medicaid, “provider not credentialed/invalid provider.” Upon review of certain Medicaid claims and calls to Medicaid Florida, the Medicaid Florida system was incorrectly denying claims for...
There are some major changes taking place in the anatomic billing world. Here are some ideas and concepts that may make this change more palatable. First what does the 88305-TC rate cut mean for hospital-based pathology groups? This change will not affect most...
Even with all the hoopla regarding the sun setting of the TC Grandfather Clause many groups and billers have put the updates to the place of service (POS) guidelines on the backburner – especially since CMS delayed the effective date until 10/1/12. But you must know...
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