The month of January presents opportunities to not only consider the year ahead, but also look back at the year just passed. With this in mind, we wanted to take a look at our most popular blogs from 2011. As you’ll see, most of them merit revisiting as your practice plans for the future.
- HIPAA 5010 – Understanding Two Important New Requirements. This blog focuses on two changes medical practices must make to their claims submission process to be 5010 compliant: using a physical address as the provider billing address and incorporating nine-digit ZIP codes into billing provider and service facility addresses. While many practices have made these changes, we’re finding that some still need to do so. It’s important to note that technology vendors cannot make these changes for practices; practices must make them on their own.
- How Paper Claims Will Be Impacted by 5010. This blog clears up some confusion that still exists today about how 5010 affects paper-based claims. While most providers filing claims with Medicare and other payers need to be compliant with 5010, those providers or payers who meet certain exceptions to the HIPAA requirements and still file on paper aren’t subject to 5010 requirements. If you’re among those providers, you can continue filing paper claims as always—at least for now.
- 5010: January 1 Compliance Date Won’t Be Enforced Until March 31. This blog discusses The Centers for Medicare and Medicaid Services (CMS) decision to delay enforcement of 5010 requirements until March 31, 2012. Although the extension provides practices the ability to work through the 5010 transition without severe damage to their revenue cycle, it does not move the original compliance deadline. Any claims or bills submitted after January 1, 2012 that are not 5010 compliant will still get rejected, but the delay in enforcement allows practices to resubmit a claim without penalty.
- No Fines for Lack of ICD-10 Compliance, Only Lost Revenue. This blog underscores the importance of preparing for ICD-10 and reiterates CMS’ commitment to the October 1, 2013 deadline. Although there will be no formal fines if a practice is not ICD-10 compliant by the deadline, unprepared practices will not get paid—which is an even bigger hit to revenue!
- Four Common Billing Mistakes – And How to Avoid Them. This blog provides tips and strategies on how practices can improve their revenue cycle process. Specific topics addressed include ensuring thorough insurance verification, supporting coding accuracy, responding promptly to denials, and avoiding insufficient billing.
Were there any additional blog posts that you found particularly interesting last year? Leave us a comment below and let us know which articles you found most noteworthy.