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Tag Archives: Physician

Physician casting for custom orthotics

Hello!
We have a physician who is a foot and ankle specialist. He has been sending patient’s to our therapy department for casting molds for custom orthotics. He wants to start doing the casting himself in clinic. Would 97760 be the appropriate code for this or is there a better code?
Thanks in advance for any input!

Sally Cookman, CPC, COSC

Medical Billing and Coding Forum – Podiatry

Physician casting for custom orthotics

Hello!
We have a physician who is a foot and ankle specialist. He has been sending patient’s to our therapy department for casting molds for custom orthotics. He wants to start doing the casting himself in clinic. Would 97760 be the appropriate code for this or is there a better code?
Thanks in advance for any input!

Sally Cookman, CPC, COSC

Medical Billing and Coding Forum – Orthopaedics

Online Review Sites: A Guide to Creating Compelling Physician and Medical Practice Profiles

 

How to Craft a Formidable Personal Statement for Your Review Site Profile

A Guide to Creating Compelling Physician and Medical Practice Online Profiles

Word-of-mouth referrals have long been the bread and butter of growing and maintaining a practice’s patient panel. Instead of face-to-face conversations though, much of this process now takes place publicly through online physician review sites like Vitals, ZocDoc, and Healthgrades.

So much so, that a recent survey by an online medical reviews firm Software Advice found that 84 percent of patients use online reviews to evaluate physicians. And a surprising 77 percent use these reviews as their very first step in scouting out a new physician.

To really harness the power of these online platforms and attract new patients, physicians have to be proactive and find a way to stand out.

Making Your Profile Stand Out

Medical Practice Online ReviewsWith so many patients flocking to online review sites, physicians need to create profiles that rise above the rest. One way to do this and leave a lasting first impression is to customize the physician and practice profiles as much as possible.

For example, there is often a part of the profile called the “practice statement” or “physician’s biography.” If these are optional fields — which is frequently the case — it can be tempting to skip over them and leave them blank. But filling these in can actually give prospective patients an insider view of your practice and personality — all things that can be the difference between them calling you first or someone else.

A Guide to Creating Captivating Profiles

Our friends over at InboundMD have just released a step-by-step guide for physicians interested in crafting powerful online profiles and personal statements. In it, you’ll find all of the information you need including:

  • The benefits of claiming your online profiles;
  • How to identify what makes your practice unique;
  • Do’s and don’ts of writing personal statements that actually connect with patients;
  • Adapting your message for each review site’s platform; and
  • A simple checklist covering the best practices for online review sites.

 

Why Choose You?
When it comes to writing a compelling, meaningful statement about you and your practice it’s best to think of your patient’s point of view – why should they choose you? Remember your writing should impress patients, not your peers.

How-to-Craft-a-Formidable-Personal-Statement-for-Your-Review-Site-Profile-Book-Cov

Download the Guide

You can download InboundMD’s complete guide How to Craft a Formidable Personal Statement for Your Review Site Profile for free here.

Have you claimed your online physician and practice profiles? How did you customize them? Please join the conversation below.

 

— This post Online Review Sites: A Guide to Creating Compelling Physician and Medical Practice Profiles was written by Manny Oliverez and first appeared on Capture Billing. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.

Capture Billing

How an RMC Credentialed Coder Can Enhance the Business Side of Any Physician Practice

RMC Registered Medical Coder Certification

Long gone are the days in which physician practices could rely on a single office manager to oversee operations and perform the coding and billing. Today’s practices are under an almost unfathomable amount of scrutiny by auditors and payers, requiring a highly specialized knowledge of the healthcare system. Couple that with electronic medical record (EMR) implementations, the Affordable Care Act, and the recent transition to ICD-10, and you’ll find that many practices are struggling simply to stay in business. In fact, many practices have joined larger groups, hospital networks, or Accountable Care Organizations because of the option to share compliance risk and resources among various participants.

ICD-10 and other regulatory requirements have also inspired a trend toward hiring credentialed coders who can help physician practices navigate regulatory changes with ease. Physicians are beginning to realize that selecting a code in ICD-10 is not a straightforward task. Physicians must choose from among hundreds of codes in an EMR dropdown menu. Even the narrative descriptions for many of these codes differ from their ICD-9 counterparts. Physicians either take the time to choose a correct and specified code—and therefore lose precious productive time—or they simply choose the first code that pops up regardless of its accuracy or specificity. Neither of these scenarios is good for the business side of the practice.

 

Gaining a financial peace of mind

 

In a post-ICD-10 world, certified coders provide an added layer of financial security by:

• Validating code accuracy and specificity, which can, in turn, ensure accurate reimbursement and outcomes reporting
• Determining whether documentation supports code assignment (i.e., Do clinical indicators and other details documented in the record match the code assigned?)

    Once this information is verified, billers are able to submit a clean claim with a lower likelihood of denial. Without this added level of review, practices run the risk of sending bills that are subsequently denied and that must be appealed or written off.

    In addition to promoting accurate code assignment, certified coders also enhance these other business processes within the practice: 

    • Clinical documentation improvement (CDI). CDI serves as the backbone of a practice, ensuring that patient severity and complexity is captured within the documentation.
    • Compliance. Certified coders establish ongoing internal audits that target E/M code assignment, diagnosis code assignment, and other high-risk areas identified by the Office of Inspector General and Recovery Audit Contractors.
    • Training and education. Certified coders provide training for all physicians and other staff members about important regulatory and coding changes, keeping everyone one step ahead of auditors.
    • Process improvement. Using data analytics and other tools within the EMR, certified coders monitor denials and identify/address the root cause of any problems. This is critical in ICD-10.

     

    Looking for the right credential

     

    Various organizations offer coding credentials and certifications; however, MMI’s Registered Medical Coder (RMC) credential is the only one in the industry that requires an annual retest to ensure ongoing competence. The retest measures coders’ knowledge of important CPT, HCPCS, and ICD-10-CM code changes that affect all specialty areas the majority of practices. An RMC-credentialed coder must also meet these requirements: 

    • Passing score of 76% or higher on the initial certification exam. Note that this is more stringent than any other coding certification industry standard. 
    • 12 CEUs annually.
    • Ability to demonstrate proficiency working in an online environment. MMI’s courses and certification exams are entirely online.

     

    MMI’s stringent standards for coding certification directly benefits physician practices seeking to maintain the highest degree of compliance. RMC-certified coders are able to identify areas of coding and documentation improvement and articulate important industry changes and their potential effects on the practice. By enabling prospective—rather than retrospective—compliance, RMC-certified coders enhance operational and financial efficiencies. A practice that employs a certified coder is ultimately a more profitable and compliant practice.

     

    About the Author

    Dari Bonner, RMC, CCP, CHCA
    Dari Bonner serves as the Chief Training Officer at the Medical Management Institute (MMI) where she is able to bring her 22 years of healthcare experience to the table. Dari has extensive consulting & project management experience, with her areas of expertise in both the public & private sector, hospitals, outpatient service centers and large & small physician practices. 

     

    About the RMC

    The Registered Medical Coder (RMC) certification is ideal for medical coders & billers in the physician office and outpatient setting. The credential is licensed through the Nonpublic Postsecondary Education Commission (NPEC) and is administered online through the Medical Management Institute (MMI). MMI is A+ accredited through the Better Business Bureau (BBB) and has been in business for nearly 30 years. MMI offers online medical coding training to prepare for the RMC Certification Exam. 

     

     

     

     

    The Medical Management Institute – MMI – Medical Coding News & MMI Updates

    CMS Issues Its Proposed 2017 Medicare Physician Fee Schedule Rule

    The Centers for Medicare and Medicaid Services (CMS) has issued its proposed revisions to the Medicare Physician Fee Schedule (MPFS) for 2017, thus beginning the annual cycle of review, comment, planning and preparation that goes along with this release.  Missing from this year’s proposed rule are provisions related to the Medicare quality reporting programs (PQRS, VM, MU-EHR*) that have been a large part of the rule in recent years. 


    Medical Billing and Coding Blog

    Physician Orders for Lab, Radiology Services, and Other Services after ICD-10 Implementation


    CMS is not requiring the ordering provider to rewrite the original order with the appropriate ICD-10 code for lab, radiology services, or any other services after ICD-10 implementation on October 1, 2015, including Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).

    Products and services that require a diagnosis code on the order will use ICD-9-CM codes if written prior to October 1, 2015. If the order is for a repetitive service that will continue to be delivered and billed after October 1, 2015, providers have the option to use the General Equivalence Mappings (GEMs) posted on the 2016 ICD-10-CM and GEMs web page to translate the ICD-9-CM codes on the original order into ICD-10-CM diagnosis codes.


    Coding Ahead

    Holding of 2016 date-of-service claims for services paid under the 2016 Medicare physician fee schedule


    On October 30, 2015, the calendar year (CY) 2016 Medicare physician fee schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare administrative contractors will hold claims containing 2016 services paid under the MPFS for up to 14 calendar days (i.e., Friday January 1, 2016, through Thursday January 14, 2016). The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.

    MPFS claims for services rendered on or before Thursday December 31, 2015, are unaffected by the 2016 claims hold and will be processed and paid under normal procedures and time frames.

    Reference: https://medicare.fcso.com/Fee_news/0307451.asp


    Coding Ahead