Month: December 2018

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Wound Care Coding

Wound Care Coding SCCM Critical Connections – December 2018  by Deborah Grider The wound care (97597-97598) and debridement codes (11042-11047) are used for debridement of wounds that are intended to heal by secondary intention. Some conditions that support medical necessity include infections, chronic venous ulcers, and diabetic ulcers, to name a few. Many insurance carriers, including...

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5 Tips for Analyzing if Ancillaries Yield Profits

5 Tips for Analyzing if Ancillaries Yield Profits Physicians Practice – Oct 10, 2018 by Cheyenne Brinson, MBA, CPA Many practices assume their ancillaries are profitable, yet often lack the systems needed to conduct a proper analysis. Here are five tips for analyzing if ancillaries are yielding promised profits. 1. Set up ancillaries as cost centers on...

Breach of Contract - Physician Contract Basics
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Breach of Contract – Physician Contract Basics

December 5, 2018 The goal of every contract is for the parties to the contract to understand their contractual obligations and avoid contract disputes. When a party fails to meet a contractual obligation, communicates an intent to fail the obligation or otherwise appears not to be able to perform a contractual obligation, the contract is...

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Scientific Analysis for Medical Liability Claims

Scientific Analysis for Medical Liability Claims AAOSNow – December 2018  by Michael Marks, MD In orthopaedics, as in much of medicine, improvements in patient care are achieved when processes are developed to analyze outcomes. Medical professional liability (MPL) claims can serve as lagging indicators or signals of serious problems in the delivery of care. Medical liability...

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Is Your Practice Optimizing Coding Resources?

Is Your Practice Optimizing Coding Resources? AAOSNow – December 2018  by Sarah Wiskerchen If not, you may be at risk for claim denials or lost revenue Is your billing team or third-party billing service using the right resources, rules, and guidelines when assembling claims and managing denials? When substantiating coding or appealing claims, you must base...

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