ITEMS IN FPM ON TOPIC:
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.