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08/20/2012

Don’t lose money following CMS’ time-based E/M coding rules for private-pay patients. CPT policy, which most private payers follow, allows you to round to the nearest time interval and that could mean rounding up. Any denials should be easily appealable, so long as your math is correct, you maintain accurate time estimates and you’re only using time to select the code when greater than 50% of the visit was spent counseling the patient, coding experts say.

08/20/2012

Don’t write off retail health clinics as the natural enemy. Instead, explore opportunities to cultivate partnerships with the increasingly popular clinics if you’re looking to add new patients. Non-physician practitioners (NPPs) employed at CVS MinuteClinics, which account for nearly half the nation’s retail clinics, ask patients whether they have a permanent primary care physician. If the answer is no, the NPP will give the patient a list of nearby primary care practices currently accepting new patients, according to a company spokesperson.

08/20/2012

Respond to questions asked through patient portals within 24 hours to increase participation and the likelihood you’ll receive incentives for proposed stage 2 meaningful use measures. About 98% of patients who ask questions through York (Neb.) Medical Clinic’s patient portal receive answers on the same day, says Practice Administrator John Tritt. Timely responses are one way the 10-provider family medicine practice boosted portal participation to 1,500 patients.

08/20/2012

Keep your practice from hemorrhaging thousands of dollars after a breach of protected health information (PHI) by encrypting your office’s most used devices – computers, copy and fax machines – for little to no money, experts say. Encryption, which is an electronic way of disguising information that is sent to or stored on a computer, can save your practice the time and expense that breaches have cost other providers.

08/20/2012

Practices lost nearly $22 million in 2010 for denied post-operative care claims billed with modifier 55(post-operative management only) – mostly because of a lack of coordination with emergency room and out-of-town providers. The fact that a patient has to receive care from another provider out of state, poor communication between the out-of-town and local providers as well as rapid claims billing contribute to an overall 18% denial rate for Medicare claims with modifier 55 in 2010, experts say.

08/20/2012
08/20/2012

Is the annual wellness visit (AWV) included in the monthly capitation payment for dialysis patients?

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