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The Department recognizes some providers have had difficulties submitting claims during the transition to the new claims payment system (the Colorado interChange). In an effort to ensure providers are appropriately paid for services to our members, we are temporarily changing the limit for timely filing.
DetailsModifier 25 landed itself on both private payer and the OIG hit lists again this year for overuse and blatant misuse leading to millions in overpayments – and everyone wants their money back! Applying Modifier 25 incorrectly can cost your practice tens of thousands of dollars! Understanding this modifier’s appropriate application can be very tricky.
DetailsRepublicans and the Trump administration are reported to be close to amending the health care proposal on overhauling Obamacare.
DetailsRT Welter & Associates is excited to present our helpful career advancing tips and strategies to sharpen the skills prospective employers look for in a coder! I’m sure you’ve all heard the old adage: Practice makes perfect! As simple as it sounds, most of us don’t make or take the time to adequately practice, especially when approaching a new project, subject or task. It takes an incredible amount of hours to master a subject…10,000 hours to be exact!
DetailsOne of the best life lessons I ever learned is always hire higher! Hire people better than yourself! Some managers are intimidated to do this, thinking they may be replaced, they may lose control, etc. If that could happen it will anyway! Always recruit and hire people better and when possible more knowledgeable than yourself!
DetailsThe staff is everything! We cannot do it without them. Our (and your) most valuable asset is the staff, their abilities, their training, their insights, their work ethic. If this is true, why do so many do it so poorly? When we buy a copier, lease space, buy a car, etc. we do research, we ask around, we make comparisons.
DetailsAn ICD-10 code will be chosen each week to profile from the newsletter that will discuss practice applications of the code as well as pertinent guideline reminders.
DetailsTriCare is changing contractors! TriCare’s new carrier/contractor will be Health Net Federal Services. In the process of changing they are re-contracting and re-credentialing the provider network.
DetailsIt is still out there alive and well. Don’t take your eye off the ball when it comes to contracting with your payers. Managed Care Contracting is a continual process. It should be done constantly and consistently.
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