Nov-Dec 2004 Issue
Navigating the Medicare Web Site [Getting Paid]

The Centers for Medicare & Medicaid Services Web site offers useful forms, resources and answers to questions that physicians may have, but they're not always easy to find. This article helps the reader locate the information he or she most needs.

Nov-Dec 2003 Issue
How to Opt Out of Medicare [Getting Paid]

The article explains steps physicians must take if they no longer want to be participating providers in the Medicare program.

Jun 2003 Issue
Diagnostic Testing and Medicare: How to Get Paid Without Getting in Trouble [Getting Paid]

Diagnostic testing is an increasingly important clinical and financial adjunct to family practice. This article examines how to provide and bill for these services while avoiding false claims liability, Stark violations and breach of the reassignment rules.

Apr 2003 Issue
Anatomy of the Medicare Appeals Process [Getting Paid]

The law has made significant structural and procedural changes in the Medicare appeals process. This article outlines those changes.

Mar 2003 Issue
Defining "Confined to the Home" [Getting Paid]

The author explains recent guidance from Medicare regarding how to determine whether a patient meets Medicare's definition of "confined to the home" (i.e., homebound).

Nov-Dec 2002 Issue
Another Ounce of Prevention [Getting Paid]

A summary of the clinical preventive services Medicare covers and the circumstances under which they're covered as well guidance about how to get paid for them.

Sep 2002 Issue
Using Advance Beneficiary Notices to Maximize Your Medicare Collections [Getting Paid]

The author explains how to use Medicare's Advance Beneficiary Notice (ABN) rules, which permit physicians to bill Medicare patients when Medicare will not pay because a service is found to be "not medically necessary."

Jun 2002 Issue
New Medicare Payment Opportunities [Getting Paid]

On April 1, 2002, ambulatory blood pressure monitoring (ABPM) became a Medicare-covered service. Effective January 1, 2002, Congress extended Medicare coverage for MNT to beneficiaries with diabetes or a renal disease. The author explains how to take advantage of these new payment opportunities.

Nov-Dec 2001 Issue
The Ins and Outs of "Incident-To" Reimbursement [Feature]

This article describes the key points of Medicare's incident-to rules as they apply to family physicians.

Nov-Dec 2001 Issue
Four Medicare Myths Exposed [Getting Paid]

The author explains the truth behind several popular misconceptions that physicians and patients have about the Medicare program.

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