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Understanding Billing for Worker's Compensation

As an alternative to the emergency room, your medical practice facility can be a local employer’s best friend when injuries happen on the job. Unfortunately, billing Workers’ Compensation Insurance can be a headache for you if you do not gather the right information from the beginning and follow the proper steps throughout the payment process. Therefore, if you are going to add workers compensation to your occupational medicine program, you must understand how to bill the insurance. Step 1: Train Your Front Desk Staff … From the moment an injured worker shows up at your medical…

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Creating Raving Fans

Have you ever been at a sporting event and there is one raving “fan?” Most likely, it’s a parent that is expressing their excitement by cheering on the team, showing their excitement regarding different plays, but overall being a “fan” of the team. Yet, you feel their energy rubbing off on you and making you a raving “fan” too. I’m sure you’ve felt it. The same feeling and excitement that is felt can certainly be applied to the raving fans, or established patients, that continually trust your team with their medical care. Within this blog…

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Staffing Your Medical Practice

The most critical part to a medical practice’s success is its staff. You could say that the care the practice provides is the most important, but you can’t have awesome care without an awesome staff. From front desk workers to patient care technicians to doctors, the people your patients encounter are critical to the success of your practice. To keep people coming back and choosing you over one of the many other practices out there, you not only have to wow them with your care but with your staff too. People are much more likely to come back if they’re greeted with a smile…

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Should You Outsource Your Billing?

As a medical practice owner, perhaps the only thing more complicated than understanding medical billing is making the decision to keep billing in-house or to outsource it. I wish I could say there was a right decision. The right answer, however, varies by the uniqueness of each medical practice. There are, however, some consideration points for you to ponder as you decide the best option for your business. Ponder Point #1: Customer Service … Customer service is the most important thing you provide at your medical practice, and no matter where your billing is done, this mantra must remain…

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How Was Your Year?

Every year, I disappear for about 4 days. It has become known as “hibernation,” probably because my wife thinks I act like a bear most of the time. I literally go away and cannot be found for 4 days. These are my days. I am not available. I do not answer emails, text messages, or phone calls. I take this time to think. For 4 days! Are you kidding? This may seem crazy, but it has become one of the most important things I do every year. Without exception. It allows me to review how this year went and what is going to happen in the year to come, both personally and professionally.

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A Website For Your Medical Practice

It’s the digital age, people! Wake up and smell the internet! If your clinic, hospital, or office doesn’t have a website, you are way past due for one. Or maybe you have a website but it looks like it is still from the ages of dial up connections… then you’re in dire need of a facelift. Many people don’t know just how important a website can be to their medical practice. People rely so heavily on the internet these days, that the first thing they’ll do when they’re looking for a new provider or a quick place to receive medical care is hop online to a…

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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…

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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…

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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…

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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.

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