Case Study: Regular Charge Fee Schedule Review

Case Study: Regular Charge Fee Schedule Review

By: Billie Mildenberger, Director of Audit Services Background: Setting up and reviewing your charge fee schedule regularly is crucial to ensuring your practice is not leaving money on the table. It is important to review all payor contracted rates when setting...
Case Study: Prostate Biopsy Billing Issues

Case Study: Prostate Biopsy Billing Issues

Background: Prostate Biopsies have seen a change in the way that billing can code and get reimbursed.  Medicare no longer pays 88305 for prostate needle biopsies, and the appropriate code for Medicare is G0416 for all prostate needle biopsies, regardless of the...
Do you know your biller’s error rate?

Do you know your biller’s error rate?

It’s hard to believe, but we’ve audited more than 10,000 individual cases during the past year, breaking down the error rates by biller. Vachette and Stark Medical Auditing & Consulting CEO Mick Raich breaks down how we distinguish error rates by...