Every CPT code has been assigned a relative value unit (RVU) and they are determined on the basis of the resources necessary to the physician's performance of the service. Assigning these services in the proper sequence based on a highest to lowest RVUs can ensure proper payment. When submitting the claims, listing the codes in the wrong order may lower your reimbursements. Here are some examples which illustrates how a change in sequence may affect the way you are reimbursed. Case 1: During … [Read more...]
Workers’ Comp & PIP Claims : Common Mistakes Which Can be Avoided
When you are billing a Workers' Comp/PIP Claim, your success cautiondepends in part on whether your office captures all the pertinent information up front. When the patient first walks in and fills out the paperwork related to WC/PIP claim, often times it is incomplete, and/or illegible. Result - Confusion and delay in claims processing. By following these simple tips, you can avoid unnecessary delays in claims processing. 1. Obtaining accurate and complete information is not only vital in … [Read more...]