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Friday Jun 15, 2018

UnitedHealthcare to expand payment for after-hours primary care

UnitedHealthcare says it will begin on Aug. 18 paying for CPT code 99051, which recognizes the value of primary care practices improving convenience to patients by being open additional hours.


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Posted at 09:00AM Jun 15, 2018 by Kent Moore | Comments [0]

Friday Feb 09, 2018

Medicare eases burden for E/M documentation involving medical students

If you are a physician who teaches medical students in your practice and involves them in your evaluation and management encounters, your documentation burden for their work is getting easier.


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Posted at 11:00AM Feb 09, 2018 by Kent Moore | Comments [0]

Wednesday Feb 07, 2018

Time to educate your patients about new Medicare cards

CMS has published free resources to help notify your patients that the new Medicare beneficiary cards are coming.


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Posted at 02:30PM Feb 07, 2018 by Barbara Hays | Comments [0]

Friday Dec 01, 2017

University of Southern California program wins 2017 FPM Award for Practice Improvement

The University of Southern California’s Keck School of Medicine has won this year’s FPM Award for Practice Improvement. The Department of Family Medicine was presented with the award Friday during the Society of Teachers of Family Medicine Conference on Practice Improvement being held in Louisville, Ky.


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Posted at 03:00PM Dec 01, 2017 by Lindsey Hoover | Comments [0]

Friday Oct 13, 2017

In a small group? Combine with others now to participate in MIPS

The Centers for Medicare & Medicaid Services says physicians in solo or small group practices have until Dec. 1 to formally notify Medicare that they are participating in a virtual group. These groups make it easier for small practices to participate fully in MIPS.


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Posted at 12:30PM Oct 13, 2017 by Kent Moore | Comments [0]

Friday Oct 06, 2017

Patients and physicians agree: not enough time for care

If you don’t feel you’re spending enough time with your patients during appointments to provide the best care, it’s likely your patients agree with you.


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Posted at 05:00PM Oct 06, 2017 by David Twiddy | Comments [0]

Monday Sep 18, 2017

New details as we get closer to CMS replacing current Medicare cards

As I announced in June, the Centers for Medicare & Medicaid Services plans to issue new Medicare identification cards that no longer carry Social Security numbers as a way to prevent fraud and fight identity theft. Last week, CMS unveiled the new cards.


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Posted at 02:45PM Sep 18, 2017 by Kent Moore | Comments [0]

Friday Sep 01, 2017

Wait times coming down for physician visits

Physician offices in the U.S. have cut visit wait times for patients by five minutes in the past year, according to a new survey.


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Posted at 10:45AM Sep 01, 2017 by David Twiddy | Comments [0]

Wednesday Aug 23, 2017

CMS: health plans can't force you to take virtual credit cards

Physicians who have been confused or concerned about health plans wanting to use virtual credit cards to pay them for patient care are learning they have more say in the matter than they thought.


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Posted at 04:14PM Aug 23, 2017 by Kent Moore | Comments [0]

Tuesday Mar 14, 2017

Act now to get prebooking benefits for next influenza season

The 2016-2017 influenza season is winding down, and hopefully you have used up all your influenza vaccine supply. Right?

As a former office manager, I realize that answer is probably no, and you actually have a lot of leftovers. An essential part of running a medical practice is using your electronic health record or billing system to find the correct number. Determining the amount of flu vaccines you billed over the past two or three flu seasons should help you estimate the number you should order for the 2017-2018 season. Be sure to take into account if your patient panel has grown or decreased. Not only will you be better prepared for the next season but also you can take advantage now of the prebooking options offered by various vaccine manufacturers and distributors.

Prebooking is when you turn in your vaccine order for the upcoming flu season order in advance, typically by the end of March. Admittedly, it is difficult to manage this number effectively because you are doing it an average of five to six months ahead of when you will need the vaccine in your clinic. The manufacturers and distributors have programs available that can help you manage your inventory as well as keep your costs down. Some prebooking programs have matrixes to help determine the number of vaccines to order, staggered shipping, order forgiveness, and volume discounts. These factors can lead to diminished costs, which, of course, can lead to greater profit margins.

You are encouraged to contact the major manufacturers and distributors directly to see what their individual prebooking programs offer. These will vary based on your practice size, patient panels, and volume discounts. Here is contact information for some of the manufacturers:

• Sanofi Pasteur (www.VaccineShoppe.com(www.VaccineShoppe.com)) 800-822-2463

• GlaxoSmithKline (www.gskdirect.com(www.gskdirect.com)) 866-475-8222

• Seqirus  (www.flu.seqirus.com(www.flu.seqirus.com)) 855-358-8966

• Protein Sciences (www.flublok.com(www.flublok.com)) 203-686-0800

– Barbie Hays, CPC, CPMA, CPC-I, CEMC, Coding and Compliance Strategist for the American Academy of Family Physicians


Posted at 06:27PM Mar 14, 2017 by David Twiddy | Comments [0]

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The views expressed here do not necessarily reflect the opinions of FPM or the AAFP. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.

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