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How to Avoid Downcoding with CC and HPI Coding Tips

Many practitioners lose revenue because they are unsure how to code for an E/M visit and when uncertain of what code to use, you avoid risk by practicing downcoding. Here are some helpful tips to learn how to document your own HPI and avoid unnecessary downcoding. The Chief Complaint (CC) and the HPI (History of Present Illness) can have a HUGE impact on the E/M level selection for a new patient. For example, the highest level for a new patient with a brief HPI is a 99202. There are two types of HPI documentation: brief and extended. An extended HPI requires at least 4 distinct HPI elements…

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Understanding Your Primary Question

In the last blog article we talked about how to strengthen the six pillars to improve your life. These include health, wealth, relationships, mental, spiritual, and giving back. To read that article click here. There is also a seventh pillar, which we will discuss in the near future. For this week, I'd like to continue our conversation about the six pillars and discuss how you can be happy today, while at the same time, continuously improve the pillars of your life. The dichotomy of being happy today and yet wanting to do better is something that has fascinated me for years. You read articles…

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Wonder and the Art of Being Content

Christmas has always been my favorite time of the year. I love everything about the holiday. I love the shopping, the food, the parties, the gift giving. I love Christmas trees and Christmas music. I have so many wonderful memories from my childhood with my family and grandparents. And so many other amazing memories with my own children. There is nothing like watching the kid’s faces as they come out of their bedrooms and see a bicycle under the tree! Unfortunately, as the five children started to move out, things started changing. Christmas was becoming not as much fun. The memories…

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The Seventh Pillar of Expertise

There are Seven Pillars of Expertise which you MUST be good at to have a truly fulfilled life. We discussed the Six Pillars in previous posts along with the importance of your Primary Question. Today I will introduce the Seventh Pillar. It is the hardest to explain but also adds the most juice in your life because it's the pillar of adventure. I call it the 007. It means anything that takes your breath away. It is stepping outside your comfort zone. It can be as simple as riding a horse or trying a new type of food, or as crazy as skiing a black diamond (did that today!) or flying an…

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Is Your Billing Company Doing a Good Job?

How well is your billing company managing your billing for you? Most medical practice owners and physicians would say "okay." How can you be sure? Just because you're getting paid every month doesn't always mean you're making as much money as you should. You could be leaving real money on the table! Here are some questions you should ask your billing company and yourself every month: Are you receiving payments in less than 30 days? This is critical when you are growing your business. Ideally you want to know that all of your payments are received and posted within the current month. Most…

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How to Improve Your Healthcare Contracts

As a fellow healthcare provider, I understand how your most important role is to provide the best and most thorough health services to your patients. Yet part of maintaining the highest standards for superior healthcare also includes maintaining a healthy bottom line. A healthcare provider’s bottom line is tied directly to the contractual relationships you’ve entered into, or more importantly what contracts you’ve become a part of. The question is… are YOUR contracts contributing to or hindering your bottom line? I asked Steve Johnston, the Credentialing and…

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Influenza Coding Guidelines: How to Code the Flu

Here are some helpful coding tips to guide you through flu season. What’s the flu type? • J09 (Influenza due to identified novel influenza A virus) – this category covers the more exotic flu types, such as avian flu, swine flu or other flu viruses of animal origin. It is very unlikely that you will be able to assign a code from this category due to a lack of testing capability for these specific flu types. • J10 (Influenza due to other identified influenza virus) – this category is where most of your patients will fall. This is the average patient who tests positive for the…

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Podcast: Evaluate the Customer Experience

In today's podcast, the owners of HealthCARE Express explore the importance of evaluating the customer experience and dealing with customer complaints in your Medical Practice.

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Happy New Year

Happy New Year to all our readers and friends. May 2015 be a year of success and contentment. Lets make this the best year ever!!!

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Making Enormous Tasks Manageable

Tracy, our CEO, is in the process of reinventing Living Every Minute. We want to teach people how to create spectacular in their life and business. We want to bring the best teachings and the best stories from around the world to our tribe. In order to do that, we must learn how to reach more people, how to affect more lives. It is an overwhelming task for both of us but particularly for her since she is doing the lion’s share of the work. Yesterday I helped her to understand some skills I have learned to implement when you have a humongous project. I hope they will help you as well.

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