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Something to show our daughters

Sometimes there are issues so important that they deserve mentioning even out of context. Such is the case with encouraging young women to make contributions in science and technology. We lost a champion last week when Mildred "Millie" Dresselhaus passed away at the age of 86. Please share this video, especially with young women considering a career in STEM. Read more about Millie's life in this article from The New York Times.

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Are you cheating yourself?

Downcoding, the practice of reducing the level of service for an E&M (Evaluation and Management) procedure reduces your practice's profitability. Up-coding, the opposite of downcoding, is illegal and if done consistently, could result in large fines, or worse. So it is no surprise that many practices downcode when they are unsure what level of service to assign to an encounter. We have developed our Level of Service Advisor to help you quickly figure out the proper level of service so that you will neither cheat yourself, nor subject yourself to legal trouble. When you search for procedure codes, hover your mouse over...

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New claim scrubbing feature!

Our scrubber now supports a great new feature. The tool, called "Mutes," lets you mute messages generated by the scrubber.    You can turn a mute off or on at any time. You assign names to your mutes, so you can easily tell which mute is which. Your mutes will appear on your "Preferences" tab. (We'll give you one if you don't already have it.)    Why would you mute a scrubber message?  If you submit claims to a payor that routinely accepts (or worse yet, requires) a combination procedure and diagnosis that fails the standard medical necessity rules for...

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Just answer my question!

A good online scrubber will check whatever is possible given the information you enter. It should answer your question. What do we mean by "question"? Well, sometimes you just want to know if two procedures can appear on the same claim. That's called checking the CCI edits. Anything calling itself a scrubber will do that. But that's a pretty low bar. But what if your question is about the medical necessity for a particular procedure? If that's your question, you should be able to enter just the procedure and the diagnosis codes that go with it. Or if a modifier...

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Not all medical claim scrubbers are created equal

Scrubbing claims can save your practice thousands of dollars. How? The average denial costs $45 to fix and resubmit, according to the MGMA. And if, as insurance companies hope, you forget to fix it, you've just given them a present. Worse yet, perfectly valid claims are sometimes denied in error ("No, really?" "Yes, really!") The earlier you find a problem with a claim, the easier it is to fix. The worst case, of course, is getting a denial, possibly weeks after the claim was submitted. The best case is to be told right when you finish entering a claim. The paperwork...

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