Billing Compliance

Billing for hospitalists; smoking cessation documentation; patients’ paperwork; group visit codes.

Our fifth edition of PayerView uses real claims data to examine and rank payers based on financial and administrative performance, as well as efficiency. Here’s to friendly competition that helps docs get paid.

We know EHRs can improve practice efficiency, but can they improve patient care? The evidence is suggesting they can. From disease management tools to automated reminders, EHRs are offering welcome improvements in patient outcomes.

Here’s a list of our favorite apps developed specifically for physicians’ diagnostic and information needs.

How to choose the right fund that will secure your retirement.

Billing massage chair use; using the AI modifier; getting paid for pulse ox.

Here's a primer to assist your medical practice maintain its patient records and avoid any legal troubles.

It is important to take the time to review the rules with your staff, so that everyone understands exactly what incident-to billing requires.

The road to electronic health records is filled with good intentions. However, every EHR vendor claims they have a certified product. Here are some steps that you can take to protect your EHR investment.

Problem visits with counseling; coding for suture removal; mixing exam types?

Knowledge is power in the payer game. Expert Lucien Roberts explains how to evaluate your payers and then use that information to negotiate better reimbursements.

Should you keep your Rx data away from drug companies? Is that even possible? Here’s what you can and can’t do to protect your prescribing privacy.

Billing for vitals recordings; discharge summary on a deceased patient; a wasted controlled substance.

Insidious software and hidden viruses living in your computers could be threatening confidential records and practice productivity. Here’s how to protect yourself.

Concerned about Medicare’s new Recovery Audit Contractors snooping around? Though your practice may not be affected by RACs for at least a year, the time to ready your defenses is now. Here’s how.

When a new employee doesn't work out it is usually for one of two reasons: Either you hired the wrong person or you didn't provide the right training.

In the midst of Medicare cuts, consult-code farewells, healthcare reform bills, and all our other challenges, we need to prepare for new HIPAA Privacy and Security mandates.

You may be unwittingly violating your patients’ confidentiality - and trust - on your blog or social media site. Check out these guidelines for staying legal and ethical online.

Giving credit for exam work; decision making for established visits; billing a hospital admission.

Family physician Sarah Parrott offers a primer on managing angry patients the right way, instead of losing your cool.

2010 starts the second year of the CMS Electronic Prescribing Incentive Program.

Pay-for-performance programs, or P4P as they are more commonly known, are designed to improve the quality, effectiveness, and safety of patient care.

Here’s our primer on the tools that can help you manage the complex reporting requirements of pay-for-performance programs.

Primary care exception; critical care coding; prescription drug management

Could the answer to the malpractice crisis be a whole new kind of court? Federal caps on pain-and-suffering awards aren’t coming soon, so we investigate another possibility.