ITEMS IN FPM ON TOPIC:
Billing and claims
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.
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.
The author draws on her experience in practice for a number of years to give new physicians tips on improving clinical and administrative processes.
This article describes changes in the CMS claim form that will take effect in January 2007.
The article presents a model superbill developed specifically for use in family physicians' offices with input from FPM readers.
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.
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.
Don’t cheat yourself. That’s the health plan’s job.
The author describes steps her practice took to improve their accounts receivable.
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.