ITEMS IN FPM ON TOPIC:
Physicians' reimbursement options for tobacco cessation counseling include Medicare's recently broadened coverage, other insurance plans, and employee flexible spending accounts.
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 article describes new insurance models that give more control to patients and describes how the trend will affect family physicians.
Feb 2006 Issue
First-Party Payers: Should You Cut Out the Middle Plan? [From The Editor]
How much of the world can you set right simply by asking your patients to pay for their care?
The author hopes to educate members on Medicare policy on concurrent care and how to establish the necessity of such. Written based on a January 2005 suggestion from the Commission on Health Care Services.
It makes no sense for medical insurance companies to do chronic disease management. Their role is to manage money. Primary care physicians can do chronic disease management right and for the right reasons. We must be paid for implementing these programs and paid to sustain them.
The article explains how physicians can negotiate with payers for fairer reimbursement rates and when they should try this approach.
This article provides specific guidelines and examples that explain why, how and when physicians should report CPT code 99211.