BACK TO BASICS – INSURANCE CARDS

We have received a number of calls regarding confusion on policies, plans, and products put out by the various payers. The confusion stems, in part, to the large number of plans that are being developed by the various payers. It seems like every large hospital system, commercial payer, and Medicaid replacement payers are rolling out […]

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CAN I BILL THE PATIENT FOR THAT?

This is a question commonly asked by many practices, and it is a loaded question! The answer is: It Depends.   Depends on what? There are as many rules surrounding what you can and cannot bill a patient for as there are for sending clean claims. I will try to de-mystify the most common scenarios […]

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NEW MEDICARE CARDS

Every time I go to my primary care physician, the receptionist re-validates my insurance information. Perhaps because phlebology services tend to be intensive and over a shorter period of time, very few vein practices seem to do this. However, there are a few good reasons to consider taking this extra step.   New Medicare Cards: […]

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CHART AUDITS A to Z

The following article is taken from a presentation given at the Colorado Phlebology Conference in Telluride this past January. My apologies for the length.   Medicare along with Blues and other commercial plans are ever more vigilant in regards to fraud. Unfortunately, the word ‘fraud’ seems to encompass a very wide definition including simply bad […]

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NEW YEAR AND NEW CODES

Everyone is excited for the 2018 coding changes.  Some of the hottest new technologies have been assigned codes by the AMA and these will be effective on 01/01/18.  Just in time for the New Year, APFS is providing coding clarification on these new service codes. 36465 – Non compounded foam sclerosant with ultrasound compression maneuvers […]

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HONDURAS VEIN WEEK MISSION TRIP, MARCH 16-24, 2018

Each year, a group of physicians, nurses, ultrasonographers and volunteers travel to Honduras on a medical service mission sponsored by the Hackett Hemwall Foundation. The week is more than just treating hundreds of Hondurans suffering from severe venous disease; it’s a life changing experience.   The academic experience is invaluable while earning approximately 40 category 1 CME […]

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SIX AND A HALF STEPS FOR JANUARY

A new year!  Which brings many of the same old issues back to the table.  Below are some thoughts on how to navigate through January and beyond.   1.  Verify Patient Information – Some patients may have changes to their insurance plans.  Even if they are keeping the same insurance company, they may have changes […]

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SECRET SHOP YOUR PRACTICE

Once the December crush is over, you may want to consider having a friend or colleague pretend to be a new patient.  I call a lot of phlebology practices.  I am constantly struck by the difficulties I face in reaching someone.  As a potential new patient, if it is not easy, I am inclined to […]

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TEMPLATES CAN CONFUSE THE ISSUE

Templates. They are a standard of practice, a requirement for your EHR, a time saver, and the bane of the medical reviewer’s existence.   Errors are common.  Designated templates are used from case to case.  This requires key elements of the form to be updated to match the specific case being documented. Common elements in […]

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INTERNAL PRACTICE REVIEW

by Marcy and AJ Riviezzo   Every year the management of a practice becomes a bit more complicated, a bit more exasperating.  A physician owner has to balance staff, revenues, expenses, equipment, marketing, and competing in an ever crowded market while reimbursements continue to be flat.  Finding time to do a comprehensive internal practice review […]

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