ITEMS IN FPM ON TOPIC:
Three things physicians can do to keep their claims from being denied or downcoded.
Understanding how medicare defines, views and covers concurrent care will help physicians get their claims paid.
Jun 1999 Issue
Improve Your Bottom Line With Patient Account Reps [Getting Paid]
Starting from a discussion between two family physicians with opposing views on the issue, the author examines the conflicting demands of productivity and the desire to give patients the time they need and want; the author endeavors to find solutions that family physicians can live with.
This article will describe how to work within Medicare's regulations to receive reimbursement for training patients how to manage their diabetes.
The author explains how his group has applied the principles of total quality management to developing a process for auditing coding and billing procedures.
This article will describe changes in Medicare reimbursement for 1999, including the implementation of resource-based practice expense payments, changes in payments for drugs and biologicals, and payments for teleconsultations.
This article will discuss how to compare your capitation payments with what you would have earned for your services on a fee-for-service basis, and how to factor in your costs of doing business with health plans, to determine whether your capitation payments are appropriate.
The article discusses how a practice's staff can audit the practice's documentation, coding, A/R and write-offs, and follow-up on claim denials to identify areas of strength and weakness.