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Category: Articles

Behavioral Health Billing

Billing for Telehealth

When billing for telehealth, pay special attention to place of service (POS) and modifier codes.

Acupuncture Billing / Behavioral Health Billing

Confidently Incorrect: Most Americans Don’t Understand Insurance

Many Americans feel that health insurance is designed to be intentionally confusing. Are they just being cynical?

Acupuncture Billing

Filing Acupuncture Claims for Veterans

Long story short: follow the authorization very carefully.

Acupuncture Billing / How To

SOAP Notes: The Right Way

Learn how to prepare your SOAP notes correctly and avoid pesky claim denials.

The Basics

Network Status Made Simpler

Being in-network doesn’t mean you’re contracted with every plan. It’s important to understand the difference.

How To

Dual Coverage: A Tale of Two Policies

Some patients have multiple insurance policies. Which one is billed first?

Acupuncture Billing / How To

PIP Tips: Billing Advice for Personal Injury Protection Claims (Motor Vehicle Accidents and Workers’ Comp)

PIP claims require special attention and handling. These 6 tips will help you file MVA and WC claims like a pro!

Billing Strategy

Best Practices in Insurance Billing: 5 Tips to Set You Up for Success

It’s not rocket surgery, but insurance is still pretty complicated. If you’re looking for broad strokes, look here.

Acupuncture Billing / The Basics

Insurance Billing Basics for Acupuncture

If you’ve never billed insurance before, or simply need a refresher, this information will start you off on the right foot.

The Basics

Everything You Need to Know About Address & Tax ID Updates

A poorly-planned move can wreck your cash flow.

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About Fraud, Waste, and Abuse (FWA)

Fraud is generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any healthcare benefit program or to obtain (by means of false or fraudulent pretenses, representations or promises) any of the money or property owned by, or under the custody or control of, any healthcare benefit program. (18 U.S.C. § 1347)

Waste is overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the healthcare system, including the Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.

Abuse is payment for items or services when there is no legal entitlement to that payment and the individual or entity has not knowingly and/or intentionally misrepresented facts to obtain payment.

About Telehealth

Telehealth is the provision of healthcare services via phone or video messaging services. Providers should generally use a secure connection (HTTPS) and render service from their designated clinic location.

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  • How To
  • The Basics
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