Billing and claims

Jul-Aug 2008 Issue
Working With Insurers: A View From the Dark Side [Feature]

This article from an insurance medical director explains the workings of claims review and gives tips on how to get the best results on appeal of an adverse decision.

Apr 2007 Issue
How to Analyze Your E/M Coding Profile [Feature]

The author focuses on both revenue and compliance issues and discusses the importance of monitoring the profile of all physicians in the group, how to analyze the data, and what to do if your profile is significantly different from national benchmarks.

Feb 2007 Issue
Six Tips for Improving Practice Efficiency and Patient Satisfaction [Feature]

The author draws on her experience in practice for a number of years to give new physicians tips on improving clinical and administrative processes.

Oct 2006 Issue
Get Ready for the Revised CMS-1500 Claim Form [Feature]

This article describes changes in the CMS claim form that will take effect in January 2007.

Sep 2006 Issue
In Search of a Super Superbill [Feature]

The article presents a model superbill developed specifically for use in family physicians' offices with input from FPM readers.

May 2006 Issue
How to Bill for Services Performed by Nonphysician Practitioners [Feature]

This article explains how to bill Medicare for services provided by nonphysician providers (NPPs) -- when to bill under the NPP's own provider number and when to bill under the physician's provider number as "incident-to" care. The rules for shared visits are also explained.

Apr 2006 Issue
Same-Day E/M Services: What to Do When a Health Plan Won't Pay [Feature]

The author describes how, from a coding, billing and communication standpoint, to handle a physical exam that combines an annual physical with a problem-oriented service.

Apr 2006 Issue
How Do You Cope With Bundled Claims? [From The Editor]

Don’t cheat yourself. That’s the health plan’s job.

Mar 2006 Issue
Patient Balances: Getting to the Root of the Problem [Feature]

The author describes steps her practice took to improve their accounts receivable.

May 2005 Issue
How to Document and Bill Care Plan Oversight [Getting Paid]

This article will describe how to bill for and document care plan oversight, balancing it as a billing opportunity and a compliance risk. It will include a form for documenting CPO.

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