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Avoid Billing Service Nightmares: Use Business Rigor to Reduce Your Risk: Part I

AAOS Now – February 2014 by Cheryl L. Toth, MBA Recently, an orthopaedic surgeon remarked that he was thinking about outsourcing his billing so he could avoid learning ICD-10 and make ICD-10 “the billing service’s problem.” But hastily outsourcing billing and collections without carefully evaluating the company can lead to problems. Choosing the wrong billing...

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Don’t Get Burned by the Billing Company: Avoid These Revenue, Reputation, & Regulatory Risks

Plastic Surgery News Connection – October 2013 by Cheryl Toth, MBA “It’s a total nightmare!” The physician’s voice was a mixture of fear and anger. He had hired his cousin’s next-door neighbor’s billing company, which had reportedly worked miracles for other practices. But with this physician’s claim volume, the one-woman company quickly fell behind. In...

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Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries

Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries – September 2013 by Kim Pollock, RN, MBA, CPC, CMDP “It seems like coding spine cases is as complicated as doing the surgery,” said a spine surgeon at his first coding training session with me. Spine procedure coding can make even the...

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Are Your Business Associate Agreements HIPAA (Omnibus) Compliant?

Plastic Surgery News Connection – 2013 by Karen Zupko If you’ve been “too busy” to update your Business Associate Agreements (BAAs) with every vendor who accesses your Protected Health Information (PHI), it’s time to pay attention. The HIPAA Omnibus Rule took effect September 23. Your practice is on the hook for ensuring that all these...

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Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery

Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery – April 2013 by Kim Pollock, RN, MBA, CPC, CMDP and Mary LeGrand, RN, MA, CCS-P, CPC The American Medical Association’s Current Procedural Terminology® (CPT) codes for reporting medical services and procedures performed by physicians must be used to bill services to third party...

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Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified

Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified – November / December 2012 by Kim Pollock, RN, MBA, CPC, CMDP Coding and billing for anterior-posterior spine procedures can almost be as complex as performing the procedure, particularly if you aren’t familiar with the nuances of the American Medical Association’s Current Procedural Terminology® (CPT) codes. Many...

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Hiring Right Makes Your Practice More Profitable and Pleasant

Aesthetic Society News – Winter 2011 by Karen Zupko, President When Lucy showed up for the interview, you thought your prayers were answered. Here was the patient coordinator/office manager candidate you had always envisioned. Actually Lucy’s resume and cover letter caught your attention; they were among the best you’d seen. Well-groomed, articulate with a soothing...

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Practice Tips: Why Patients Don’t Schedule Surgery – Try These Reasons On For Size and Take Action

Facial Plastic Times – May/June 2011 by Karen Zupko Potential patients don’t schedule surgery for dozens of reasons. You’ll find five of the “big ones” here. Many plastic surgeons neglect to track the all-important Patient Acceptance Rate (PAR)–most particularly by procedure. PAR information is valuable because it allows you to examine your consultation processes and...

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Therapy Billing for Beginners

AAOS Now (Volume 4, Number 12) – November 2010 by Sarah Wiskerchen, MBA, CPC How to bill for physical, occupational therapy Orthopaedic surgeons are increasingly incorporating physical and occupational therapy services into their practices. In-house billers, who may be inexperienced with the new services, terminology, and associated CPT codes, may be apprehensive about the move. Clarifying the services,...

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The Employment Agreement: What Every Doctor (Junior and Senior) Needs to Know, Parts 1, 2, and 3

Journal of Practice Management – May/June 2000; July/August 2000; September/October 2000 by James G. Stuart J.D. This is the first of a series of three articles dealing in considerable detail with the process involved in developing physician employment agreements. It is assumed that the contemplated relationship in between two or more physicians (single or multi-specialty)....

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