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Office visits represent a huge proportion of revenue for most practice types. It’s easy for small errors in coding to become habitual, and the resulting inaccuracy can be costly for your practice. Under-coding can mean lost revenue — multiplied by hundreds or even thousands of visits per year. Accidental over-coding can lead to revenue clawbacks […]
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Did you happen to catch this New York Times Magazine article last month? It begins with a moving story of an uninsured patient who suffers a terrible brain hemorrhage. Thankfully, she gets timely, effective treatment — but her condition requires many expensive services, including an air ambulance. Her bills totaled about $500,000. Although the patient […]
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Office visits represent a huge proportion of revenue for many practice types. Consistently accurate coding of office visits is important to avoid costly under-coding or inadvertently coding above the level that applies, which could lead to revenue take-backs. Since the E/M range constitutes such a huge piece of the overall reimbursement pie, payers are very […]
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Capko & Morgan has had the honor of collaborating with the MedData Group on several recent MedData Point surveys. This month, we worked together on one of our favorite subjects: billing and collections. The results may reflect some subtle but interesting changes to recent trends. For the past few years, it has seemed that the […]
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Conducting an internal chart audit require team effort to plan, execute and analyze the results.  You will get far more out of the audit by involving team members from different departments and presenting it as an exciting time to learn more about the inner works of the clinic visit and their implications on practice finances.  […]
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Did any of you catch the ICD-10 TweetChat Kareo hosted on Tuesday?  I participated representing our team(@capkoandcompany); three other panelists from different segments of the medical management world joined in as well (@brad_justus, @modmed_EMA, @hitconsultant).  Kareo does a wonderful job reaching out to its clients and the entire practice management community with events like these […]
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Physicians: are you planning a vacation this summer, and worrying about coverage?  Or, have you thought about bringing in extra help so you can take time off, but are worried about lost revenue? Hiring temporary physician help doesn’t have to mean a deadweight loss of revenue for your practice.  This helpful article from Physicians Practice […]
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For most practices, E&M codes represent a significant portion of billings — and, for some practice types like pediatrics and other primary care, E&M codes can approach 100% of billings.  Physicians and non-physician providers are often so sensitive to the risk of down-coding, denial or audit that they develop a bad habit of ‘defensive’ E&M […]
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A new study from the Center for Public Integrity has identified a trend towards higher coding of Medicare visits over the last decade — and suggests this increased utilization of higher codes could signal increasing, habitual abuse.  The study also notes that medical groups representing doctors assert that treating seniors has gotten more complex over the last ten […]
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A recent New York Times article and follow-up blog post discuss the challenges patients have understanding medical bills, through the eyes of a consultant named Jean Poole who has made a career of deciphering (usually highly erroneous) medical bills and helping patients recoup incorrect charges or reduce their outstanding bills. Billing is so challenging for practices […]
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Regulatory requirements that affect the medical practice are changing rapidly.  While the primary focus may seem to be on EHR systems and meaningful use to obtain those stimulus funds, there are other mandatory system changes that need to be addressed now, starting with the conversion to ICD -10 code set. The new code set represents […]
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