Blog

Blog Post image

Working Through Language Barriers

Imagine: You wake up one morning feeling absolutely awful. Your body aches. Your nose is running. The room feels like it’s spinning. You’re afraid if you try to eat breakfast you won’t be able to keep it down. You get your spouse to drive you to the doctor. You approach the front desk and try to check in, but the girl behind the glass just stares blankly at you, not understanding a word you are saying. She speaks back, and you also have a hard time understanding her. Another young woman approaches and speaks to you, her words garbled. You understand most of what she says…

READ MORE

Blog Post image

Legal Concerns of Freestanding ERs and Urgent Care Clinics

Many of you readers are either already physicians in a freestanding ER or in an urgent care facility, or you’re considering starting up one of your own. It’s crucial to understand, though, the difference between the two, as well as the laws that are set in place that affect both types of facilities. These laws are the same as the ones in place for any medical practice, but it won’t hurt to get a little refresher! Freestanding ERs are emergency center facilities that are not attached to a hospital. Pretty self-explanatory, right? Even though they are emergency centers, not…

READ MORE

Shaping Up Your Front Desk

One of the most important features of your medical practice is your front desk staff. Of course, they aren’t directly providing care for the patients that drop by your clinic or office, but they are the face of your business. If your front desk is lazy or rude, it doesn’t matter how amazing the care you provide is… odds are, patients aren’t going to want to come back if they had a bad experience before seeing you. A bad front desk staff can sour the already negative feelings associated with having to visit a doctor. People want to feel like they are cared about when…

READ MORE

Blog Post image

Medical Necessity

What is medical necessity? And why do coders keep talking about it? Of course, the patient’s treatment was medically necessary. What does this have to do with documentation? Medical necessity and medical decision making are not the same thing. Per the CPT codebook, medical decision making refers to the complexity of establishing a diagnosis and/or selecting a management option. This is measured by three different components: number of diagnoses or treatment options, the amount and/or complexity of data reviewed, and the level of risk of complications and/or morbidity or mortality.

READ MORE

Blog Post image

Incoming: Changes to Medicare Cards

Some changes are coming to Medicare numbers and cards soon. Starting in April 2018 the Centers for Medicare & Medicaid Services (CMS) will start distributing these new cards to their members with complete transition aimed for April 2019. Current and future members, will all receive a version of these updated cards. There will be a transition period that lasts until the end of 2019. Although, your business processes and systems for Medicare billing, claims status, eligibility must be ready by April 2018 for transactions. So, what’s going to be different? Social Security Numbers (SSN)…

READ MORE

Marketing Your Medical Practice

You most likely opened your medical practice to help people, but you may not have fully grasped the business aspect of it all. Just like the retail store down the street, you should market to your audience. You may not be selling a product to clients, but you are selling a service—your healthcare. You need to encourage people to visit your clinic or office instead of your competitors. But how do you draw in more patients? You have to start marketing. Odds are, you’re not sure where to start. Luckily, Medical Practice Success is here to help with a few helpful tips to get your practice more…

READ MORE

Blog Post image

Patients with High Deductible Plans and You

It’s always hard to get money from patients when they visit your healthcare establishment, especially when they are suddenly shocked by a high deductible price. Often, the patients will get upset with you, even though the price of their deductible isn’t your fault. You don’t want to be the bad guy and make them pay that much, but you are a business, after all, and you need revenue to keep your business going. They may want to pay later, but that may result in you not getting paid. So, what’s the best way to handle this situation? Patients aren’t often prepared to…

READ MORE

Blog Post image

Global Periods

Let’s talk about global periods. Every surgical Current Procedural Terminology (CPT) code includes a surgical package, aka global period. This includes anything from a laceration repair to earwax removal, from fracture care to a transplant surgery. This surgical package per the CPT guidelines includes the following: • An Evaluation and Management (E/M) service (either the day of the procedure or the day before the procedure) which includes taking a history and performing an exam … • Local anesthesia … • Immediate postoperative care … • Writing any orders for the patient … • Evaluating…

READ MORE

Blog Post image

Anthem Is Changing the ER Coverage Game. What Does This Mean For Your Practice?

Anthem, America’s second largest health insurance provider, has changed its emergency room policy. And while those words often aren’t so good to hear, you may be surprised by the effect they will have on your urgent care business. Those with an Anthem plan won’t have their visits to the ER covered, now, if they visit for a non-emergency reason. This is to keep from congesting the ER waiting room, and to keep the company from having to cover the expenses of such an expensive visit. This means more business for your urgent care clinic! Be anticipating this change as it is…

READ MORE

Blog Post image

Billing For Laceration Repairs

What's the difference between simple, intermediate, and complex repairs? What do you really need to document? Are you missing out on reimbursement? These procedures can sometimes be confusing. A complicated laceration does not necessarily mean that the repair is intermediate or complex. There are a few questions to ask to determine what type of repair needs to be done. How deep is the laceration? Is it contaminated with foreign material? Is debridement necessary? See the following descriptions of the different coding options: Simple Repair - One layer skin closure, or electrocautizeration…

READ MORE

Showing: 41 to 50 of 387 (39 Pages)

Return to Top