Category: Art-ALL

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Five Coding Tips for Dealing with Third-party Billing Entities

Five Coding Tips for Dealing with Third-party Billing Entities AAOSNow – February 2020  by Sarah Wiskerchen, MBA, CPC Whether due to the complexities of hiring billing staff or a result of hospital employment and practice acquisition, many orthopaedic practices are moving their billing operations to a third-party entity or centralized billing office (CBO). This process...

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Prior Authorization Chaos is the New Normal for Spine Surgery

ORTHOWORLD – December 11, 2019 In 2017, the American Medical Association surveyed physicians across all specialties about the amount of time spent by them and their staff on patient prior authorizations. The response was striking. Eighty-six percent of offices reported that their prior authorization activities had increased significantly over the last five years, and the...

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All Work (RVUs) and No Pay?: Eight Questions to Ask the Hospital about Its Work RVU Compensation Formula

GreenBranch.Com – Jan/Feb 2013 by Sarah Wiskerchen As more surgeons and specialists are offered hospital employment, work RVU-based compensation agreements are becoming more sophisticated and complex. In order to have meaningful conversation with health system administrators and ensure that a compensation agreement addresses all issues pertinent to the physician’s practice and specialty, physicians practice and...

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Therapy Billing: Be Sure Your Team Is Doing Things Right

Therapy Billing: Be Sure Your Team Is Doing Things Right AAOSNow – October 2019  by Sarah Wiskerchen, MBA, CPC Many orthopaedic surgeons are adding physical and occupational therapy services to their practices. This can be daunting for in-house billing teams, as they may lack experience with the new services, therapy terminology, and associated Current Procedural...

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Coding Errors Can Cost You Money and Potentially a Sale

Coding Errors Can Cost You Money and Potentially a Sale Healio Orthopedics – October 2019  by Karen Zupko As more orthopedic practices are approached for potential acquisition, our firm is engaged by buyers and sellers to evaluate the accuracy of coding and documentation, and the efficiency of the revenue cycle. What we’re seeing in many...

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4 Reasons You Should Prepare a Physician Rights and Responsibilities Document

4 Reasons You Should Prepare a Physician Rights and Responsibilities Document Physicians Practice – September 2019  by Karen Zupko It’s important to spell out the care you deliver patients. It’s equally important to define acceptable and unacceptable treatment from patients. Here are four reasons why you should prepare a physician rights and responsibilities document along...

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7 Things to Include in Your Practice’s Governance Agreement

7 Things to Include in Your Practice’s Governance Agreement Physicians Practice – September 2019  by Karen Zupko and Michael R. Marks, MD A governance agreement is the foundation for how a practice’s board of directors is comprised, which in turn dictates how a practice functions and thrives. Unfortunately, most practice governance agreements lack detail that...

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How to Bill and Get Paid for Unlisted Procedures

How to Bill and Get Paid for Unlisted Procedures AAOSNow – September 2019  by Cheryl Toth Orthopaedic surgeons often perform procedures for which no specific Current Procedural Terminology (CPT) exists. For example, hip surgeons often are frustrated that there are no codes for periacetabular osteotomy (PAO) or labral reconstruction. “Now that orthopaedic surgeons are experienced...

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5 Questions Every Older Physician Should Ask Themselves

5 Questions Every Older Physician Should Ask Themselves Physicians Practice – August 2019  by Karen Zupko 1. Realistically, how long can I plan to keep practicing? A 62-year-old client said she planned to practice medicine 10 more years. This probably isn’t realistic. Often, saying 5 or 10 more years is an easy and round-numbered way...

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Does My Documentation Tell the Story in Critical Care?

Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019  by Deb­o­rah Grider The initial and subsequent hospital codes 99221-99233 require specific documentation of the key components: history, examination, and medical decision-making. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.

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