Billing and claims

Mar 2005 Issue
The Value of a Coding Education [Getting Paid]

The authors describe options for physicians and members of their staff who want to obtain certification in coding.

Feb 2005 Issue
New Year, New Medicare Benefits [Getting Paid]

The article explains what physicians need to know to get paid for providing a physical for all patients new to the Medicare program.

Jul-Aug 2004 Issue
Should You Charge Your Patients for "Free" Services? [Feature]

In this era of tightening reimbursements, it's difficult for family physicians to continue practicing, let alone afford to improve their practices. This article explains how family physicians are finding new sources of income in services they used to be able to afford to offer without charge.

Jun 2004 Issue
Understanding When to Use 99211 [Feature]

This article provides specific guidelines and examples that explain why, how and when physicians should report CPT code 99211.

Apr 2004 Issue
Online Communication With Patients: Making It Work [Computers]

This is the second in a two-part series that reviews what the current options are for online communication with patients, how to integrate online communication with patients into a busy practice, and what the relevant guidelines are for privacy and financial success.

Sep 2003 Issue
Help With the HIPAA Transactions and Code Sets Standards [Feature]

This article addresses the HIPAA transaction and code sets implementation process and provides information regarding what data health plans will be need in order to pay claims once the standard becomes effective.

Jul-Aug 2003 Issue
Best Practices in Claims Processing [Getting Paid]

Developed by a committee representing health plans and medical specialty societies including the AAFP, these tips are designed to assist family physicians and their billing staff reduce payment delays attributed to problems related to coordination of benefits.

Jun 2003 Issue
10 Ways Family Practices Lose Money [Feature]

This article describes 10 reasons that family practices lose money and offers prevention tips for each reason.

Apr 2003 Issue
Anatomy of the Medicare Appeals Process [Getting Paid]

The law has made significant structural and procedural changes in the Medicare appeals process. This article outlines those changes.

Sep 2002 Issue
Using Advance Beneficiary Notices to Maximize Your Medicare Collections [Getting Paid]

The author explains how to use Medicare's Advance Beneficiary Notice (ABN) rules, which permit physicians to bill Medicare patients when Medicare will not pay because a service is found to be "not medically necessary."

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