Lisa Eramo, MA, is a contributing author for Medical Economics.
Use these two CPT modifiers to get paid correctly
During a typical office visit, physicians may provide evaluation and management (E/M) services, minor procedures and more. The question is: Can they bill for each one separately?
The 2022 Coding Guide
What you need to know to avoid claim denials and to maximize practice revenue
How to avoid medical necessity denials
How to avoid medical necessity denials and ensure timely payment.
Cybersecurity: How medical practices can protect patient data from hackers
13 tips to keep your patient data safe
10 tips to get a raise from your payers
Negotiating a successful payer contract increase is possible for those willing to craft a thoughtful, data-driven argument for why they deserve more money.
10 tips for successfully negotiating payer contracts
New principal care management codes: What physicians need to know
Four new codes have been put in place in 2022.
How ‘virtual’ scribes can reduce EHR headaches
Scribes are someone who works offsite or in a different area of the practice (i.e., not in the exam room) to document important aspects of the encounter so the physician or other provider can focus on providing patient care and working more efficiently.
Get paid what you're owed
Focus on coding compliance to safeguard practice revenue
Integrating behavioral health and primary care
7 tips for clear patient communication
Follow these guidelines to improve patient understanding and obtain better outcomes.
Addressing patient health literacy
How primary care physicians can help
8 budget-friendly ways to market your practice during COVID-19
This is the ideal time to connect with new and existing patients, serve as a resource and explain how to access care.
Transitional care management
Will changes make getting paid easier?
E/M changes take effect January 2021
Is your practice ready for the changes that are coming?
2020 Coding Guide: Get Paid What You're Owed
Address coding vulnerabilities to protect practice revenue.
Nine tips for collecting patient balances
Collecting copayments and coinsurance is challenging because of the COVID-19 pandemic.
Digitize admin tasks to reduce staff burdens
Telehealth coding guide
Code it right, get paid.
Strategies to rebuild patient volumes in the wake of COVID-19
Returning to normal patient volumes will take a detailed plan and continued effort.
Tap the power of patient stories to augment clinical care
Human stories have the ability to help patients cope
Virtual scribes can reduce physician workload while increasing revenue
A scribe can help a physician focus on patient care and improve outcomes.
Top E/M tips to boost revenue and mitigate compliance risk
Choosing an E/M code based on gut feeling is one of the biggest mistakes a physician can make.
Overlooked codes physicians should consider
Gain revenue by overcoming barriers to longitudinal comprehensive care
How to generate revenue, improve patient care
Physicians understand the connection between mental and physical health, yet many don’t feel equipped to address patients’ behavioral health problems.
How to avoid common chronic care management denials
Even though physicians have been able to bill CCM since 2015, they still run into problems in terms of getting paid.
Coding for revenue
Focus on accurate billing to drive and retain revenue.
Boost revenue by getting coding right
It’s every physician’s worst nightmare: Receive payment for services rendered, but then a payer identifies an aberrant pattern in claims data, audits the records, decides it has overpaid the practice, and recoups those funds. That money you already allocated for overhead, staff salaries, bonuses, or new medical equipment? Gone. The good news is, physicians can take steps to focus on accurate billing and avoid costly recoupments.
How to earn money monitoring INR levels
Two new CPT codes allow payment when physicians order, review, and interpret new INR test results-even when patients self-test at home
Level of care coding tips to boost revenue, mitigate risk
Tips and warnings from experts for E/M coding
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