Physician Medical Billing

03/15/2013

The most important factor in achieving financial success in a clinic is productive providers. Higher productivity results in higher revenue, while lower productivity results in less revenue. This is a simple concept, but we often don’t give it the proper attention. Effectively monitoring provider productivity helps manage the provider’s expectation of compensation and the business’s bottom line.

By Dixon Davis, MBA, MSHA, CPPM The most important factor in achieving financial success in a clinic is productive providers. Higher productivity results

03/07/2013

Coding/Billing: Transitional Care Management: New transitional care management (TCM) codes, introduced in CPT® 2013, allow providers to receive reimbursement for their efforts and the efforts of their staff to promote successful outcomes for patients transitioning from a facility setting (e.g., inpatient hospital, nursing facility) to a community setting (e.g., home, assisted living facility).

by: Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC New transitional care management (TCM) codes, introduced in CPT® 2013, allow providers to receive

02/26/2013

It's About Time: CPT® Clarifies Coding for Time-based Services.
Revised instructions in the 2013 CPT® manual stipulate that—in the absence of specific instruction to the contrary (whether in a parenthetical reference, code-range-specific rules, or the code descriptor)—there are five basic rules when reporting time-based services.

02/26/2013

The Facts about Documentation Double Dipping
In the coding world, the term "double dip" has two meanings. You might think it's never OK to double dip, but in some circumstances, you definitely should—or risk leaving legitimate reimbursement on the table.

02/21/2013

The issue of overbilling comes into focus on the heels of a federal warning. But is it fraud or better billing practices driving up reimbursements?

The issue of overbilling comes into focus on the heels of a federal warning. But is fraud or better billing practices driving up reimbursements?

02/16/2013

Same-day hospital readmission trends remain a bone of contention for the Office of Inspector General (OIG), as indicated in the agency’s 2013 Work Plan.

By Dorothy Steed, CPAR, CPC-H, CPC-I, CEMC, CFPC, CPMA, CHCC, CPUM, CPUR, CPHM, CCS-P, RCC, RMC Same-day hospital readmission trends remain a bone of

02/13/2013

AAPC provided a great desk reference for coders needing more information on the coding of ulcers in their practice.

02/08/2013

A MAJOR WINTER STORM WITH BLIZZARD CONDITIONS IS FORECAST FOR THE NORTHEASTERN U.S FOR TONIGHT INTO EARLY SATURDAY...Be prepared for bad driving conditions and power outages by staying tuned to radio and TV storm advisories.

A major winter storm, with blizzard conditions, is forecast to impact the Northeast Friday night into early Saturday, as a developing nor'easter moves up the Atlantic coast. Total snowfall accumulations of 1-2 feet are possible, with locally higher amounts. In addition, gusty winds will create blizz...

02/06/2013

Report Presurgical H&P With Caution

History and physicals before surgery can be potholes in the road for reimbursement if reported incorrectly. Watch the circumstances under which the physical is

02/05/2013

When it Comes to Healthcare Big Data is a Big Deal With the Increasing digitization of healthcare

02/04/2013

Handling HIPAA: 4 new provisions providers must know

If knowledge--including patient data--is power, then the U.S. Department of Health & Human Services has sent a message to providers and other organizations charged with handling and protecting...

02/04/2013

Healthcare IT sees $1.2 billion in VC funding in 2012

Want to get the latest stories on EMRs, HIT Stimulus, CPOE, HIEs and Data Security sent straight to your Inbox? Join over 51,000 healthcare pros who subscribe to FierceHealthIT for FREE!