Tag Archives: Medical Practice

List of AAPC Credentials

The American Academy of Professional Coders has medical coding certifications for several types of credentials. Each organization offers several types of credentials, some parallel each other like the CPC and CCS, while other credentials may be unique to the organization. Credentials that you can obtain are as follows:

CPC-A: Certified Professional Coder, Apprentice

CPC: Certified Professional Coder

CPC-P: Certified Professional Coder – Payer

CPC-H: Certified Professional Coder – Hospital

CPC-I: Certified Professional Coder – Instructor

Specialty Medical Coding Credentials are as follows:

Dear Medicare

Dear Medicare, Do you know why providers don’t want to do business with you? What business has a one hour window that is the “best time” to call each morning? Are you saying you only work one hour of each day? When I call in this one hour window, I still don’t get help. PleaseContinue Reading

List of HCPCS Categories

The letters at the beginning of HCPCS Level II codes have the following meanings: A-codes (example: A0021): Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental B-codes (example: B4034): Enteral and Parenteral Therapy C-codes (example: C1300): Temporary Hospital Outpatient Prospective Payment System D-codes: Dental Procedures E-codes (example: E0100): Durable Medical Equipment G-codes (example: G0008): Temporary Procedures & Professional Services H-codes (example: H0001):Continue Reading

Billing Q&A: What are HCPCS?

HCPCS stands for Healthcare Common Procedure Coding System (HCPCS). For Medicare and other health insurance programs to ensure health care claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II code set is one of the standard code sets used by medical coders and billers for thisContinue Reading

Medical & Business Industry Leaders to follow

We get asked frequently on who is a good resource for a Medical Practice.  We have comprised a list [specific in some areas to the State of Texas as that is where our business originates from].  Below is a list that will help you get started if you are working or interested in the MedicalContinue Reading

Billing Q&A: Covering for a Colleague

In part of our Question & Answer Series, today we address a common question about how to do billing when you are covering for another physician. Q:  If I am covering for another physician and see some of his/her patients during his/her absence, are these patients considered new or established? A:  The CPT guidelines specifically addressContinue Reading

EHR Incentive Payment Audits

EHR Incentive Payment Audits The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorized the implementation of the Texas Medicaid Electronic Health Record (EHR) Incentive Program. The Medicaid/CHIP Division of the Texas Health and Human Services Commission (HHSC) began making incentive payments to eligible providers and eligible hospitals in 2011 forContinue Reading

Steps to Avoid EHR Incentive Payment Delays

Eligible professionals who want payments assigned directly to them must have Social Security number on file with TMHP Eligible professionals (EPs should be aware of the following before beginning enrollment in the Texas Medicaid Electronic Health Record (EHR) Incentive Program: If you will be assigning the incentive payment to yourself, your Social Security number (SSN)Continue Reading

EHR Incentive Payment Overview

Under the provisions of the HITECH Act, State Medicaid programs are establishing EHR Incentive Programs. These programs provide for incentive payments to certain health care professionals and hospitals that meet specific eligibility requirements when they adopt, implement, and meaningfully use certified EHR technology. To be eligible for incentive programs, health care professionals and hospitals mustContinue Reading

CMS Medicaid Payment Rule

CMS held a call on the Medicaid PCP payment rule on Wednesday, December 12, 2012. The following summary of that call. Administrative: They will issue more guidance within a month as Q/As at Medicaid.gov Physician Self-Certification: To qualify for payment physician has to self certify, indeed, but responsive to the many questions they received onContinue Reading