Month: December 2017

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Five Reports and a Dashboard: Review this Data Every Month

Five Reports and a Dashboard: Review this Data Every Month Healio ⋅ Orthopedics Today – July 2017 by Cheyenne Brinson, MBA, CPA Running a practice without looking at financial reports is like diagnosing a patient without checking blood pressure or ordering blood work: Chances are, you are going to miss something important. Truth is, it...

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Five Operational Challenges That May be Slowing You Down

Five Operational Challenges That May be Slowing You Down Healio ⋅ Orthopedics Today – December 2017 by Cheyenne Brinson, MBA, CPA Is your orthopedic clinic running as smoothly as it could? Do you find yourself getting behind or waiting around for patients to complete their paperwork? Do your clinics start on time? Do your staff...

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Five Reports for the Employed Physician to Review Monthly

Five Reports for the Employed Physician to Review Monthly Healio ⋅ Orthopedics Today – October 2017 by Cheyenne Brinson, MBA, CPA Something we hear all too often from employed physicians is, “I’m just an employed physician.” Later, those same physicians are surprised when their contract is renegotiated at a lower salary. High productivity isn’t everything;...

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8 Effective Hiring Questions

8 Effective Hiring Questions Healio ⋅ Orthopedics Today – November 2017 by Cheryl Toth, MBA Technical skills and job experience are important considerations when you’re interviewing for new staff, but as a colleague once said to me, “You can’t train for ‘nice.'” In other words, there are some characteristics a candidate either has or doesn’t. Determining...

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Surgeon’s Role in the Revenue Cycle: A Blueprint for Young Surgeons

Surgeon’s Role in the Revenue Cycle: A Blueprint for Young Surgeons Healio ⋅ Orthopedics Today – August 2017 by Amy Boyer, MBA Whether a physician’s compensation is tied directly to productivity or collections, or is indirectly influenced by the overall financial sustainability of the practice or the hospital, the physician’s paycheck depends on the employer...

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Five Advisors Every Surgeon Needs

Five Advisors Every Surgeon Needs Healio ⋅ Orthopedics Today – November 2017 by Amy Boyer, MBA Wise individuals know their area of expertise and know when they need expert advice. For surgeons, building a team of trusted advisors is as important to their personal and professional success as building a team of top-notch employees is...

Coding  Transforaminal Injections
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Coding Transforaminal Injections

December 14, 2017 Question: If a bilateral L4-L5 transforaminal epidural injection is performed, how is it reported? Answer: 64483-50 (L4-L5) Note: Some insurers request bilateral injections reported as: 64483 single level 1 side 64483-50 the other side Some payers may also prefer RT and LT. Know each payer’s policy. *This response is based on the...

Coding Carotid Angiography
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Coding Carotid Angiography

December 14, 2017 Question: I performed a right common carotid artery catheterization with extracranial common carotid and intracranial imaging and left internal carotid catheterization with carotid circulation imaging. Can I report this as bilateral, 36224 and 36223-50? Answer: The bilateral modifier is only used for the exact same procedure/code performed bilaterally. In your scenario the...

Defining Non-Compounded Sclerotherapy
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Defining Non-Compounded Sclerotherapy

December 14, 2017 Question: I’m not sure I understand the new vein surgery codes in the 2018 CPT manual. Can you explain what “non- compounded” means? Answer: The new 2018 coded, 36465, 36466 describe injection(s) of a non-compounded foam sclerosant into an extremity truncal vein (eg, great saphenous vein, accessory saphenous using ultrasound-guided compression of...

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