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EMR Readiness: The R-Factor
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Be Prepared for the HITECH Act: 8 Tips for Successful EHR Adoption
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The Total Cost of Ownership of EHR in a Meaningful Use World
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Increased Revenue, Optimized Efficiencies, and Reduced Costs: Real Practices Speak on the Value of Patient Communications. -
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- GE Healthcare
Be Prepared for the HITECH Act: 8 Tips for Successful EHR Adoption
- Athenahealth
The Total Cost of Ownership of EHR in a Meaningful Use World
- GE Healthcare
Increased Revenue, Optimized Efficiencies, and Reduced Costs: Real Practices Speak on the Value of Patient Communications. -
Medfusion
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2007 Physicians Practice Fee Schedule Survey Results
Get the full results of our latest reimbursement and charge schedule survey or read our analysis of the results.
2009 Medicare Physician Fee Schedule
See what Medicare owes you in 2009.
Download an Excel spreadsheet listing RVUs and global periods for every code. Once you download and "unzip" the file you'll find there, open the excel spreadsheet named PPRRVU09.xls.
Accounts Receivable Key Indicators
How good are your key accounts receivable processes? Do you even know what to measure? Find out how you are doing by entering key data from your practice and comparing your key measurements to industry benchmarks.
This simple work sheet will let you compare your payers' reimbursement for specific procedure with your costs for each procedure. If you're spending more to provide a service than you're making for it, then it's time to address the problem.
Thinking about buying an EMR, but not sure how it will pay off? Try this ROI calculator, supplied by A4 Health Systems. It will show you where you can expect to cut costs, regardless of what system you buy.
Compare your denial rate from Medicare to national averages for your specialty by total amount denied, number of services denied, or percent of services denied. Data from the Centers for Medicare and Medicaid Services.
Manage your denials from insurance companies by tracking them in this worksheet. Track the denials according to the functional area to identify opportunities for improvement. By tracking and monitoring denials, you can fix the problem and prevent denials in the first place.
Compare your E&M coding patterns with national norms from Medicare (2005). It's a fast way to see if you are out of whack. Translate Medicare's data for your specialty into percentiles for easier comparison.
Use this easy calculator to find out which of your payers are worth your efforts. By comparing the percentage of revenue to the percentage of patient encounters for each of your payers, you can tell at a glance which plans are the poor performers.
Measure the Financial Health of Your Practice
Here are the fourteen key measurements you need to make -- about once a quarter -- to measure your practice's financial health. We've made it easy for you. Just enter some information; we'll do the math.
Overhead Calculator and Benchmarking Tool
We'll help you accurately measure your overhead costs -- and compare them to national benchmarks.
Measure physician productivity by relative value units (RVUs) -- one of the most reliable ways to do it. This spreadsheet does the necessary calculations for you.
Crazy busy but not sure if you can afford to hire another physician? Just fill in the blanks on this site. It'll do the analysis for you.
The best performing practices in the country tend to have more staff than practices doing less well. Why? More support staff means physicians can focus on seeing patients -- and bringing in money. Find out how your staff per physician ratio compares to national benchmarks.
Follow our flowchart to find ways to improve your collections. A great companion to our Accounts Receivable Key Indicators calculator. If your results there are lower than you like, this flowchart will help you improve.
We know you can never find the time to create useful, nice-looking forms. Use ours. Download these forms and use and change them as you see fit. Use this form if you think Medicare will not cover a service you are about to perform on a patient covered by Medicare. If the patient still wants the treatment, their signature shows they know they may be responsible for payment. Please note that a separate form must be signed for each service for each date of service, and that the patient has the option to refuse the service. Because of the specificity required, this process (and form) is best managed by the clinical team, instead of the front office.
This form was created by the Center for Medicare and Medicaid Services (formerly the Health Care Financing Administration) for your use. For more information, visit http://www.hcfa.gov/medlearn/refabn.htm.
Advance Beneficiary Notice - Lab Work This is similar to the general notice above, but is specifically for laboratory work. Again, this form comes directly from the Center for Medicare and Medicaid Services. Access its Web site for more information.
Assignment of Benefits -- Spanish Closing Practice -- Letter to Patients If you are closing your practice, you need to let patients know and advise them to find another physician. Here is a letter you can use to get the job done.
This is the first in a series of letters to use for patient collections.
Collections Letter 1 -- Spanish Collections Letter 2 -- Spanish Collections Letter 3 -- Spanish Let new patients know about your policies from the get go. Follow these guidelines.
HIPAA: Authorization for Use of Protected Health Information The Health Insurance Portability and Accountability Act requires authorization from patients for the release of protected health information for uses other than treatment, payment or health care operations. Here's a sample form for this purpose. Provided by Rachel Glitz, Paul Smith, and Becky Williams of Davis Wright Tremaine, LLP.
HIPAA: Notice of Privacy Practices Straight from the HIPAA regulation, here is an outline to follow as you create your Notice of Privacy Practices.
If you can't verify a patient's insurance, their signature on this form shows they know they are responsible for payment.
Instead of having patients carry all their medications to every visit, ask them to bring in this simple chart. It's a more efficient way to check for counterindications. You can even give patients a digital copy by saving it to a disk or e-mailing a copy. That makes it easy for patients to update it.
Use this letter if a patient consistently refuses to pay for services rendered, and you are forced to dismiss the patient from your practice.
FIND OUT MORE Dealing with problem patients Don’t let your patients put you on the defensive How to spot drug-seeking patients Patient Information Form -- Spanish An easy way to find out what patients think of your practice -- and where you need to improve.
Patient Satisfaction Survey -- Spanish 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 remind them what they owe. They simply need to mail one in, with a check, each month.
Records Release Form -- Spanish Specialists, use this waiver if a patient forgot his referral. It says that the patient agrees to pay for services rendered that are not covered by his managed care company.
Appeal Letter for Claims Denied as Duplications Medicare denies claims for 26 percent of all services submitted. More distressing -- 40 percent of those services are never resubmitted for payment by providers. Talk about missed opportunities!
Customize this form letter -- and the ones below -- to appeal claims denied, no matter who the payer is.
Use this letter to show payers that the claims you are sending are not dups, but corrections.
Appeal Letter for Claims Denied for Improper Bundling Appeal Letter for Claims Denied for Not Using Designated Provider Use this letter is a claim is denied becasue a patient saw a physician in your group who is not his or her designated primary care physician.
Appeal Letter for Prompt Payment Appeal Letter Justifying Emergency Treatment Appeal Letter Justifying Fee Schedule as Fair and Reasonable Appeal Letter Justifying Medical Neccessity Business Associate Agreement: HIPAA The Health Insurance Portability and Accountability Act requires physicians to have their business associates -- claims processors or third-party billers, for example -- agree to protect private patient data. Here's a sample form to use for this purpose. Forms provided by Reece Hirsch, attorney with Davis Wright Tremaine, LLP.
Business Manager Evaluation Form Consider this template for annual or quarterly reviews of the performance of business managers in your practice. Of course, make sure your review reflects goals set at the beginning of the year or in a job description.
Ask staff to sign this agreement, showing that they understand the need to protect patient confidentiality.
Tell 'em what you want and how you'd like to hear about what happened.
Decisions, Decisions: Your IT Shopping Checklist Is your practice in the market for a new EMR or other new technology you’re not all that familiar with? Or do you want to upgrade some outdated software or IT tool, and you’re not sure how to start looking? Physicians Practice’s new Product Assessment Worksheet, adapted from a checklist created by New Jersey’s Regional Women’s Health Group, can help you compare products and ensure they are appropriate for your office’s specific needs.
Documentation Template - Established Patient Use this sample template for guidelines on documenting established patient visits. Provided by Hill & Associates.
Documentation Template - General Use this sample template for guidelines on documenting patient visits in general. Provided by Hill & Associates.
Documentation Template - Inpatient Use this sample template for guidelines on documenting inpatient visits. Provided by Hill & Associates.
Documentation Template - Outpatient Use this sample template for guidelines on documenting outpatient visits. Provided by Hill & Associates.
Base your fee schedule on the Relative Value Unit (RVU) scale. We'll show you how -- and help you with the math.
Use this form to document internal review of and response to complaints concerning compliance with human resource, HIPAA, Medicare billing or other ethical and legal guidelines.
A quick overview of the Initial Preventive Physical Examination (IPPE),
a new Medicare benefit effective 1-1-05. Understand the components and how to bill for the exam.
Need a better way to track the status of lab work you've ordered -- but not ready for an EMR? This Excel document provides semi-automation.
Be sure to turn on your macros and review the instructiosn on the last worksheet.
Provided by www.docsboard.com.
Plain language advice on using common modifiers.
New Practice Start-up Checklist Opening a new practice? Here are some of the things you will need to get done before the doors open.
You give annual reviews to staff, why not to physicians? This form gives physicians feedback about their clinical quality, bedside manner, and ability to work with others.
Red Flags Identity Theft Affidavit and Notification of Suspected Identity Theft Form This document includes other necessary forms related to the Red Flags Rule, including an identity theft affidavit. Don’t forget to replace “Our Medical Group” with your practice name.
Red Flags Identity Theft Policy, Board Resolution, Contract Addendum Is your practice “Red Flags” ready? Here are several forms to help you develop a policy to comply with the Federal Trade Commission’s Red Flags Rule, which requires creditors to implement programs to prevent and detect identity theft. Here you’ll find a document with a policy, board resolution, and contract addendum. Just replace “Our Medical Group” with the name of your practice, and you’re on your way.
Physicians often want to review an overdue patient account before it is sent to a collection agency. Staff can use this form to summarize the status of the account, making review easier.
Smooth patient referrals -- and your relationship with specialists -- with this easy form.
Placing a sign-in sheet on the reception desk makes the reception process less friendly. Instead, try asking patients to fill out this slip -- and do the necessary paperwork immediately.
A sample review form for staff performance.
General benchmarks on productivity for front and back office staff. Use these to evaluate the current performance of your staff and establish workload expectations.
Make sure you know everything you need to know.
Get the message right the first time. Use this form to make sure all the information is covered.
Make sure the tests you ordered get done, that you get the results and that the patients knows if anything is wrong. Print this form on carbon paper to create two copies: Send one copy to the lab. Keep the other in the office, but don't file it until the results come back and the patient is notified. If the form is still sitting out a month after the test was ordered, you'll know to follow-up.
Detailed elements to consider when reviewing workflow in your office. Use this checklist to help define staff responsibilities and best methods to make workflow seamless.
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Copyright © 2010 UBM Medica LLC,, a United Business Media company.
Select any link below to download a file in Microsoft Word or Microsoft Excel. All downloads are free.
If you have questions about the tools, e-mail us at physicianspractice-info@cmpmedica.com
All forms should be customized for use in your practice. See our disclaimer.
If you have questions about the tools, e-mail us at physicianspractice-info@cmpmedica.com
All forms should be customized for use in your practice. See our disclaimer.