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Articles tagged with "Practice Management"

Rheumatology Coding Corner Answer: Billing Infusion Procedure with JW Modifier

From the College  |  April 20, 2017

Take the challenge. CPT: 99214-25, 96413, 96375, 96361-59, J1745 x 4 J1745 JW* x 36, J1200 x1 ICD-10: M45.09, T50.995A, R06.02, E66.3, Z68.2 Rationale Modifier 25 is appropriate to use because it indicates the patient received a significant, separately identifiable E/M service on the same day as the infliximab infusion. This E/M service entailed the…

How to Bill Medicare Patients for Non-Covered Services

Steven M. Harris, Esq.  |  April 19, 2017

What do you do when you are presented with a patient who needs treatment but the patient’s insurance company will not pay for the services? Can you provide the services anyway? Who will pay for them? How do you collect payment for such services? If the patient consents to receive the services in spite of…

Use Time Component When Coding Counseling, Coordination of Care Visits

From the College  |  April 17, 2017

Although there are seven components for the levels of evaluation and management (E/M) services, most encounter levels are coded on the basis of the history, examination and medical decision making (MDM), which are the key components extracted from documentation in the medical record. However, when counseling and coordination of care for a patient are the…

New Position Paper Aims to Reduce Administrative Tasks in Healthcare

Will Boggs, MD  |  March 28, 2017

NEW YORK (Reuters Health)—A new position paper from the American College of Physicians (ACP) aims to reduce administrative tasks in health care. Reducing these tasks has been an important long-term objective of ACP, which developed the Patients before Paperwork initiative in 2015 as part of this effort. In a publication online on March 27 in…

Quality Measures Used to Assess Care, Improve Outcomes in Children, Adults with Rheumatic Diseases

Mary Beth Nierengarten  |  March 20, 2017

WASHINGTON, D.C.—In a session during the 2016 ACR/ARHP Annual Meeting, aptly called Quality Measures and Quality of Care I, a panel of experts presented information on a number of programs underway in rheumatology using quality measures to both assess and improve patient outcomes. Leading off were two presentations on programs using quality measures to improve…

Credit Card Program Helps Physician Practice Manage Its Income

Karen Appold  |  March 20, 2017

As Erin L. Arnold, MD, partner, Orthopaedics and Rheumatology of the North Shore, in Skokie, Ill, observed patients’ health insurance deductibles and copays getting dramatically higher and higher, she decided that it was time to explore a program that would require patients to keep a credit card on file. “As a private practice and small…

Undercoding Is Not an Audit-Proof Strategy in Medical Documentation

From the College  |  March 20, 2017

Overcoding is a common term used when discussing fraud and abuse in reporting procedures and services not supported by the actual work performed. Alternatively, undercoding—or failing to report the full extent of services or procedures provided—is an equally unsound practice and a compliance risk. In the world of quality reporting, undercoding can have damaging effects…

ACR Puts Forward Principles on Patient Access to Care

From the College  |  March 17, 2017

The ACR has partnered with the American Medical Association (AMA) and over a dozen stakeholder groups to create a set of 21 principles to reform prior authorization protocols. This coalition represents hospitals, medical groups, patients, pharmacists and physicians with a unified goal of creating a more patient-centered, streamlined and transparent process for prior authorization. According…

5 Skills for Successful Physician Management

Carina Stanton  |  March 10, 2017

After 39 years in rheumatology practice, Herbert Baraf, MD, says, “Management has a great influence over the quality of practice.” Here are some tips for physician management…

Tax Season 101: Insights into Filing a 2016 Tax Return

Karen Appold  |  February 24, 2017

With all the changing laws and forms to complete, rheumatologists must plan ahead to complete taxes for themselves and their practices. Here are a few insights into what’s changed for your 2016 tax return …

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