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Practice Management Alert
Practice Management Alert
Practice Management Alert - 2002; Volume 2, Number 12
Follow These Safety Instructions When Billing Auto Insurance Claims
Billing auto insurance for motor vehicle accidents can be risky business for phy...
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Your Manual for Billing Auto Insurance
If you're going to travel the auto insurance route, you had better know how to nav...
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You Be the Expert:
Appeal Untimely Filing
Test your knowledge. Determine how you would handle this situation before loo...
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Squeeze the Most Productivity out of an Understaffed Office
Your office may never have enough employees to run a tight ship, but with these organi...
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Buckle Up for Patients Involved in Auto Insurance Lawsuits
Strap in tight: Your automobile accident patient's legal proceedings can mean a ...
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Medicare Increases the Reimbursement for Physicians Rendering Split E/M Services
Good news, medical office billers: You'll be seeing more reimbursement from your split...
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Prevention Form for Auto Insurance Patients
Date: Patient Name: Account #: Outstanding Balance: (Name of Your Business) agrees to h...
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Reader Question:
Improve Collections One Day at a Time
Question: I want to make my office's collections more effective on a day-to-day basis....
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Reader Question:
Get Paid for Patients No Longer Insured
Question: Our physicians provided services to a patient after we verified her insu...
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Practice Management Alert - 2002; Volume 2, Number 11
What Goes Around, Comes Around:
Your Guide to Reciprocal and Locum Tenens Billing
Mastering the details of reciprocal and locum tenens billing is enough to make any m...
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Using Locum Tenens Billing for MDs, NPPs
Locum tenens sounds fancier than reciprocal billing, but don't be fooled by the Lati...
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Bars Card,You Should Too When You Verify Insurance Eligibility
Do your investigative homework: Sniff out ineligible patients and other insurance ...
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Technology Can Make Eligibility Verification Easier
For verifying patients' insurance, technology can be a good investment for your prac...
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Patient Discounts:
Tips to Keep Your Practice Compliant
An occasional discount for a physician's elderly mother or a single parent scrapin...
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You Be the Expert:
Billing for New Physicians
Test your knowledge. Determine how you would handle this situation before lo...
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Alert:
Medicare Shortens the Appeals Process
Heads up, medical office billers: The window of time you have to file Medicare appea...
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Reader Questions:
Claims for Attempted Suicide
Question: I have been told that there is a new federal law prohibiting health ...
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Reader Questions:
Payer-Mix Statistics
Question: Would you explain how to use payer-mix statistics in practic...
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Practice Management Alert - 2002; Volume 2, Number 10
Send a Clear Message to Patients A Guide to Collections for the Whole Office
"It takes a village" applies not only to rearing children but to your collection p...
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You Be the Expert:
Billing for New Drugs
Test your knowledge. Determine how you would handle this situation b...
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Strategies That Work:
Get Your Due
You get more flies with sugar than vinegar. That old adage works well for a billin...
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Analyze EMR Costs Before You Start Counting the Savings
As your practice gauges the cost of converting from paper to an electronic medical rec...
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Financial Policy Statements Grease Collection Wheels
What your patients don't know can hurt your accounts receivable. The more you tell pat...
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Statement of Ownership, Management, and Circulation
...
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Reader Question:
Bounced Checks
Question: Every once in a while, a patient's check bounces. Not only do we lose the ...
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Reader Question:
Preventive Services
Question: Many of our claims for physical exams get denied. Is it true that physic...
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Reader Question:
Medicare Overpayments
Question: We file our Medicare claims electronically. Recently, we received a paym...
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Practice Management Alert - 2002; Volume 2, Number 9
Beat the Silent Reimbursement Foe
Can you keep track of which payers you participate with? Some repricing companies ar...
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Once Denied,Twice Shy? Proper Appeals Boost Pay
With Medicare rates plummeting, Medicaid falling apart, and managed care groups cont...
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You Be the Expert:
Know Your Rights
Test your knowledge. Determine how you would handle this situation before look...
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News You Can Use
Starting Oct. 1, there are new time limits on filing a Medicare appeal. In a program...
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Capture More Charges, More Quickly
An electronic medical records system may seem as if it has more to do with practice op...
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Fight Refund Requests
When an insurance company requests a refund because of a mistake the insurance company...
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Reader Question:
Payer-Specific Codes
Question: I have a payer that says it doesn't recognize certain CPT codes. What should...
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Reader Question:
Refusing Care to Delinquent Patients
Question: When we don't receive timely payment from patients, we send them two letters...
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Reader Question:
Billing for Physician Assistants
Question: A patient received services from a physician assistant (PA) at our practice....
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Practice Management Alert - 2002; Volume 2, Number 8
Find a Billing Manager Who Fits the Bill
In a time of declining reimbursements and increasingly restrictive Medicare regula...
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Are EOBs a Mystery? Get a Clue on How to Review
Are you tossing aside the explanation of benefits (EOB) that your insurance company in...
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You Be the Expert:
Charging for Lab Services
Test your knowledge. Determine how you would handle this situation before lo...
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Four Tips for Spotting a Silent PPO
When you examine your EOBs, you may discover that the payer has illegally reduced your...
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Swipe Your Way to Easy Fee Collection
If your practice does not accept credit and debit cards, you may be missing out on h...
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Reader Question:
Incomplete Documentation
Question: I have been attending different audit meetings and am repeatedly told that i...
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Reader Question:
Charging Late Fees
Question: We do not add any late fees to patients' accounts if they become delinquent....
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Reader Question:
Certified Letters
Question: My physician sends a certified letter to patients right before turning their...
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Reader Question:
Discounting PPO Versus Non-PPO Benefits
Question: If we admit a patient to the hospital who has PPO (physician provider organi...
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Reader Question:
Medicare Guidelines
Question: Where can I find specific rules for billing Medicare? I went through our Medic...
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Practice Management Alert - 2002; Volume 2, Number 7
How to Get the Most From Your A/R Reports
A/R reports can be a pain in the neck, but with careful planning they can help you m...
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Seven Tips for Capturing Data From New Patients
A well-designed patient registration form prevents a slew of claim-submission headache...
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You Be the Expert:
Noncovered Services
Test your knowledge. Determine how you would handle this situation before lo...
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What If Your Office Is Not Computerized?
For offices that file only paper claims, creating a log system or suspension fil...
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Education Improves Physician/Biller Relationships
So, you've performed yet another internal audit and are still finding the same documen...
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Communication in a Nutshell
Educating physicians on new coding, billing and compliance issues can be summarized in...
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Reader Question:
Payment to Beneficiary
Question: Is it insurance fraud when an insurance check is mailed to the beneficiary, ...
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Reader Question:
Deceased Patient
Question: Our collection agency told us that if a patient is dead and there is no signed...
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Reader Question:
Choosing Fee Schedules
Question: Do we need to use different fee schedules for private insurance, Medicare an...
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Reader Question:
Billing Resources
Question: Can you provide me with some good resources for new billers? New York Subsc...
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Practice Management Alert - 2002; Volume 2, Number 6
Include Documentation for New Procedures to Speed Reimbursement
Practices that perform new procedures, or use new medical devices and products, of...
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Advance Beneficiary Notice Must Qualify as Timely
If you do not provide the patient with a "timely" advance beneficiary notice (ABN) ti...
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You Be the Expert:
Discounts for Cash,Prompt Pay
Test your knowledge. Determine how you would handle this situation b...
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ABN Basics
Medicare requires that physicians give beneficiaries an advance beneficiary notice (AB...
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Know When to Appeal and How
Insurers deny payment for various reasons, some of which may be invalid. However, ...
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Stop Losing Copayments, Deductibles With Four Tactics
Because the cost of trying to collect by mail and telephone can quickly outpace the do...
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Copayment Collection Fast Course
You can improve your copayment and deductible collection rates without hounding patien...
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Reader Question:
Timing of Collection Agencies
Question: When should I turn an account over to a collection agency? California Subsc...
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Reader Question:
Tracking Lost Paper Claims
Question: Our office still uses paper forms to file Medicare claims. The paper claims ...
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Reader Question:
Key Financials
Question: Which basic financial records should we track regularly? Missouri Subscribe...
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Practice Management Alert - 2002; Volume 2, Number 5
Look for Five Personality Traits When Hiring Collections Staff
To collect accounts receivable (A/R) promptly, you need collections staff with certa...
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Test Candidates Knowledge with Sample Collection Questions
The following are examples of the types of questions iLIANT Management Directions in W...
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You Be the Expert:
Overzealous Collection Agency
Test your knowledge. Determine how you would handle this situation before look...
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Use ABNs to Educate Improve Your Collections
Using advance beneficiary notices (ABNs) properly with Medicare patients can mean th...
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Reader Question:
Billing Medicare for New Doctors Services
Question: If our physicians add a new doctor to the practice and the doctor is not crede...
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Reader Question:
Tracking Accounts in Collection
Question: When we turn a patient balance over to a collection agency, should we writ...
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Reader Question:
Waiving Charges for Employees
Question: Should our practice waive charges for our employees who are seen by our phys...
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Reader Question:
Contractual Payments
Question: Our practice has many managed care contracts, and I do the payment posting...
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Reader Question:
Suspended Claims
Question: What should we do with suspended claims? Michigan Subscriber Answer: Most ...
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Practice Management Alert - 2002; Volume 2, Number 4
Filing and Follow-Up Tactics for Secondary-Insurer Claims
Automatic claim crossover from Medicare to secondary insurers should be painless and produ...
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Ease Claim Refiling with Medicare Crossover Know-How
When dealing with crossover claims, practices often confuse Medicare secondary i...
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As a Last Resort, Complain to State Insurance Commissioner
If an insurer is not responding to claim appeals within the contracted 30 days, and nu...
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Sort Accounts by Doctor to Maximize Staff Responsibility
Inability to respond to your physicians inquiries about the status of particular accounts ...
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Reader Question:
Nurse Copayments
Question: Must we collect a copayment for a visit with a nurse? Texas Subscriber &nb...
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Reader Question:
Neglected-Claim Follow-Up
Question: Ive just become the billing manager of a practice that has neglected claim follo...
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Reader Question:
Payer Downcoding
Question: I have a payer who routinely downcodes our E/M services. What can I do about thi...
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Reader Question:
Billing with No Insurance Card
Question: How should I file a claim on a patient who has new coverage but has not receiv...
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Reader Question:
Looking for a Collection Agency
Question: I am looking for a new collection agency. What should I look for when selectin...
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You Be the Coder:
Free Postsurgical Care
Test your coding knowledge. Determine how you would code this situation before looking a...
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Practice Management Alert - 2002; Volume 2, Number 3
To Prevent Compliance Problems, Make Refunds Promptly
Practices that conduct retrospective audits often find such a review gives them a comple...
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Dont Shortchange Yourself Analyze Your Charges, Payment
Are you confident your payers are reimbursing all they possibly can on your practice's c...
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You Be the Expert:
Methods to Post Interest Payments
Test your coding knowledge. Determine how you would code this situation before loo...
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Prove Patient Neglect to Avoid Write-Off for Untimely Filing
If you've had a claim denied by a commercial insurer for untimely filing but you filed...
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Reader Question:
Disappearing Charge Slips
Question: We have gone back through our records for a year to see if our physicians are ...
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Reader Question:
Making a Claim When Patient Files Bankruptcy
Question: If a patient has filed bankruptcy, should I make a claim for a bill from a year ...
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Reader Question:
Lost in the Mail
Question: What steps should I take when an insurance company says it never received our cl...
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Reader Question:
Handling Global Periods
Question: Were a new surgical practice. Whats the best way to keep track of which services...
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Practice Management Alert - 2002; Volume 2, Number 2
Improve Billing Department Efficiency with Four Management Techniques
To operate your billing department effectively and efficiently, you need to recognize th...
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Start Collection Process Before Problems Develop
If you have many patient bills and insurance claims outstanding month after month, i...
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You Be the Expert:
Flu Shots as Revenue Producers
Test your knowledge. Determine how you would handle this situation befor...
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Avert Patient Payment Troubles with Surgical Cost Quotes
If your surgical practice is in a market that has high insurance deductibles or coinsura...
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Reader Question:
Patient Statement Requirements
Question: What information must be on a patients statement? How can I make it easier to un...
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Reader Question:
Handling Insurer Overpayments
Question: How should I handle overpayments by insurers? How fast do I have to repay? If ...
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Reader Question:
Posting Payments on Outstanding Accounts
Question: How should patient payments be posted? If a patient has an outstanding account...
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Practice Management Alert - 2002; Volume 2, Number 1
Use Documentation in Appeal to Medicare Fair Hearing Officer
When your Medicare Part B carrier conducts a review of your appealed claim and upholds...
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Math Magic:
Find Amount in Controversy for Medicare Appeal
The Medicare Part B appeals process requires appellants to begin at the first review s...
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You Be the Expert:
Copayment Responsibility for Children
Test your coding knowledge. Determine how you would code this situation before loo...
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Focus on Reasons for Denial To Make Follow-Up Easier
Although practice managers and billers agree that following up on claim denials helps ensu...
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Collecting Medicare Deductibles in Advance
Question: I have been told that it is wise to collect deductibles before patients see the ...
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Free Anthrax Coding Report on Web
Physicians and other healthcare professionals who provide services to any patients with ...
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Reader Question:
Getting Paid When Insurer Reimburses Patient
Question: My practice filed a claim with the benefits assigned to us. But, the insurance c...
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Reader Question:
Charging for Meet-and-Greet Appointments
Question: Can an obstetrics practice bill for initial physician interviews, or so-called m...
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Reader Question:
Obtaining Updated Fee Schedules
Question: Experts say that practices should have updated fee schedules from their pay...
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Available Years:
2002
2001