Minnesota Court Case: WESTERN NATIONAL V. NGUYEN

On October 26, 2017, in Billing Questions, by MoneyTree

The Minnesota Court of Appeals case, Western National v. Nguyen, held that all medical providers who DO NOT submit bills electronically to the “responsible” insurance vendors within six-months will be barred from recovering payment from ANYONE, pursuant to Minn. Stat. 62Q.75.  Based on this, the case denied payment of a large No-Fault arbitration award because [...]

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Yet Another New ABN Form

On October 18, 2017, in Billing Questions, by MoneyTree

Wait for it… Medicare has released a new ABN yet again.  And although not a lot has changed (just an added non-discrimination clause!) it is important you start using this new form after June 21, 2017.  You can find the different versions of the forms below along with directions. ABN English Version ABN Spanish Version [...]

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BCBS of Michigan Reminder: Professional providers required to submit claims electronically, starting June 30

On July 17, 2017, in Blue Cross and Blue Shield, Insurance Questions, by MoneyTree

Hey BCBS providers… beginning on June 30, 2017, you will be required to submit these types of claims electronically if you have the capability to. Original claims Replacement claims Void or cancel claims Any claim that includes services for which you’ll submit medical records BCBS also encourages the following claims to be submitted electronically if [...]

Security Health Plan (SHP)

On April 18, 2017, in Insurance Questions, by MoneyTree

Effective March 15, 2017 for all Security Health Plan Products, with the exception of Badger Care Plus:  SHP now requires you to notify them via the use of the FX modifier if you are still using x-ray film. SHP will decrease your payment by 20% for any x-rays that are being handled with film, instead [...]

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What is your Plan B?

On April 18, 2017, in Money Tree Billing, by MoneyTree

We all like to dream big, which explains why so many rush to buy a Lottery ticket with the hopes of winning the big jackpot once it’s over $200 million dollars. We joke and laugh as we leave our jobs at the end of the day, “Mrs. Smith’s notes have been uploaded in the EHR [...]

Tackling Front Desk Collections… The Fundamentals

On October 18, 2016, in Collections, by MoneyTree

Every webinar you listen to, any seminar you attend, and all the coaches you follow or work with will tell you collect on the first visit, collect every visit, and better yet, have the patient pre-pay. Is this ideal? Absolutely! Is this reality? Not usually. When trying to decide what to write I considered themes [...]

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Secondary, Supplement or Replacement?

On October 14, 2016, in Insurance Questions, Medicare, by MoneyTree

In the case of Medicare, we are frequently asked what the difference is between a secondary insurance policy and a supplemental insurance policy. Though there will always be an exception to the rule when it comes to insurance coverage, in general terms, below is an outline of each type and how they work. Medicare Supplements: [...]

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Minnesota Docs… this one’s for you!

On August 14, 2016, in Insurance Questions, by MoneyTree

There are some new guidelines that went into effect as of August 1, 2016, for Blue Cross and Blue Shield. You should re-verify your patient’s benefits depending on the plans below… Self-Insured Plans:  Per contract benefits Commercial Plans:  After 30 visits per calendar year Government Plans:  After 24 visits per calendar year Prior Authorizations need to be [...]

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How much Money are you Losing?

On June 27, 2016, in Billing Questions, by MoneyTree

Losing money… A dreaded phrase nobody wants to hear. There are many procedures within an office that are key to overall success. One of these procedures is double-checking your day sheets. In fact, just this month while doing patient statements for our clients, we came across 11 accounts within two clinics that were missing multiple [...]

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Important Insurance Changes to be Aware of since the New Year

On April 19, 2016, in Insurance Questions, by MoneyTree

As we head into the second quarter of the year, we wanted to share some important insurance changes for you and your office. To avoid confusion, you’ll want your staff to be in the know. HSM (Health Services Management) has changed to Magellan. This change is basically in name only (and phone number, which is [...]

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