CDI can be a critical initiative that not only increases reimbursement revenue but also enhances the patient experience.

Leveraging clinical documentation improvement for post-COVID financial recovery

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Slideshows

You’re probably already doing the work. Get paid for more of it.

3 billing codes physicians should use

There’s no doubt prior authorizations are a major time suck. Here are five ways to make them a little less onerous.

Making prior authorizations less burdensome

Senior director of strategic programs for The US Oncology Network

Articles

If providers fail to follow these new rules, claims will be denied, and eventually, those who are outliers on adherence to appropriate use criteria will be subject to prior authorization.

Preparation for appropriate use criteria is key to success

Five tips to ensure better documentation and, along with it, better patient care and improved reimbursement.

Boost reimbursement through improved documentation

Carl Knopke, MD, FOMA, FAAFP is the medical director of Inland Empire Weight Loss in Riverside, California. He is board certified in Obesity Medicine and Family Medicine. He is an assistant professor of Family Medicine at the University of California Riverside School of Medicine and a member of the Board of Trustees for the 

His primary medical interests include treating diabetes, hypertension, hyperlipidemia, and arthritis using the tenets of obesity medicine. He also has special interests in psychiatry, psychology and exercise physiology and how they can be applied to treat obesity.

Though similar to other specialties, some billing codes are unique for behavioral therapy.

Billing and coding in obesity medicine

Don’t let your Medicare Part B reimbursement for advanced imaging be impacted by the CMS Mandate taking effect on January 1, 2022!

New CMS Appropriate Use Criteria mandate for CDSM will impact Medicare reimbursement

Senior Vice President of Client Development at VisiQuate

Podcasts

Physicians Practice® spoke with Terry Blessing III, Senior Vice President of Client Development at VisiQuate, about how practices can work to reduce the likelihood of encountering denied claims.

Avoiding Claims Denials in Your Practice

Physicians Practice® spoke with John Harrison, CCO of Concord Technologies, about how documentation technologies can improve workflows in practices. 

Document Automation, Data Extraction for Independent Practices

Max Schloemann is a dedicated medical malpractice insurance broker and the founder of MEDPLI. He specializes in providing competitively priced Medical Professional Liability Insurance (MEDPLI) solutions for private practices, doctors changing jobs and physicians across all specialties. Max understands the diverse needs of solo, small, and large medical practices and provides each of his clients with unique and individualized attention.

Max graduated Magna cum Laude from Southern Illinois University College of Business and was named the Outstanding Management Senior. His career in medical malpractice insurance began in 2008 with an industry-leading firm, where he continued to cultivate his interests in healthcare and small business until he realized their perfect intersection – private practice. He founded MEDPLI in 2017 to help private practice physicians as well as doctors who need tail insurance navigate the complexities of medical malpractice insurance in the new era of healthcare and provide them with the level of service and expertise they deserve.

In his spare time, Max enjoys spending time with his wife and 4 kids. His hobbies include gardening and hiking the Shawnee National Forest. He enjoys the beautiful views, fresh air and golf.

Miscoding and fraudulent billing can destroy a medical practice. Use these tips to get robust oversight of your medical billing and coding in place.

Why every medical practice should prioritize billing and coding oversight

There are two principal criteria that need to direct physicians’ code assignment once they have decided to use a TCM code.

Coding & Documentation

Leveraging clinical documentation improvement for post-COVID financial recovery