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Articles

Medicare: Uncle Sam’s New Scrutiny (posted on 5/1/08)
The government rocked the hospital world with its plan to stop paying hospitals for the treatment necessary to fix their so-called mistakes. Could your office be next?

The Bigger Picture: Fighting for a Sweeter Deal (posted on 5/1/08)
In America’s Chocolate City, a diminutive practice administrator takes on the big payers, and gets results.

Billing & Collections: Playing Hardball (posted on 4/1/08)
Collecting from patients is one of your hardest jobs. Some practices, in frustration, are turning to tough tactics like charging interest and even taking patients to court. Here’s a look at what works best, and what’s not worth the trouble.

Healthonomics: How to Handle Health Savings Accounts (posted on 2/1/08)
Our new occasional series on the nexus of healthcare and the changing economy begins with a look at health savings accounts. Increasingly popular with patients, HSAs promise owners the chance to have more control over how their healthcare dollars are spent. Yet they present unique challenges for your billing office.

Getting Paid: Tired of Being at the Mercy of Tight-fisted Payers? (posted on 1/1/08)
We hear you. Unfortunately, physician reimbursement continues to decline, according to the results of our exclusive 2007 Fee Schedule Survey. That’s the bad news. Now here’s the good news: Along with all the hard data, we arm you with the tools you need to fight back.

The Bigger Picture: Fixing Medicaid (posted on 1/1/08)
The government has some ideas about what’s wrong with Medicaid, and how to fix it. Too bad their ideas don’t have much to do with paying doctors better.

View the complete list of articles in Billing & Collections

Q & A

Billing Case Management (posted 5/1/08)
If three providers within the same practice have a conference to discuss a patient and can qualify for a case management charge, who gets to charge — the provider who instigated the conference or all three providers involved in the discussion?

Billing Interdisciplinary Rehab Team Conferences (posted 5/1/08)
Aside from the billing code for daily personal contact with the patient and notations in the patient’s record and occasional conferences with a family member, please advise me regarding the appropriate E&M code(s) for weekly conferences with the rehabilitation team members assuming an average of 10 minutes per patient.

Diabetic Blood Draws (posted 5/1/08)
There are many patients with diabetes and hyperlipidemia in my practice of mainly elderly patients.

Medical Necessity Denials (posted 5/1/08)
We have a doctor that is billing Medicare for 97032-GP: “application of modality to one or more areas” and Medicare is denying as not medically necessary.

Patient Refunds for Untimely Filing (posted 5/1/08)
If a claim is to be written off due to lack of timely filing and the patient has made payments against the claim, is the patient entitled to a refund for the amount they have already paid?

Phase III of Stark and DME (posted 5/1/08)
We have new durable medical equipment (DME) that we will be giving to our respiratory patients.

View the complete list of questions in Billing & Collections

Tools

Impact, By Specialty, of the 2007 Proposed Medicare Fee Schedule
CMS has released its proposed changes. Not sure how it will impact you? Have a gander at this. It'll give you what you need to prepare. We took it str...

Payment Coupons
Take a page from your mortgage company. Instead of sending self-pay patients on a payment plan statements every month, give them coupons. The coupons ...

Collections Letter 3 -- Spanish
...

Collections Letter 2 -- Spanish
...

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Buyer's Guide
Convenient listing of vendors in more than 80 office product and
service categories.

Billing Services
Billing Software
Collection Services
Contracting (Payer)
Electronic Billing Service/Clearinghouse
EOB Processing Software/Systems
Revenue Cycle Management

 
     
 
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