2014 Changes

A Glossary by Cheryl Nash This year is certainly bringing a lot of changes to the world of healthcare. I am pressed to think of any aspect of this industry that is not going to be significantly impacted by at… Read More

Endomechanical Ablation Coding

Our View by AJ Riviezzo Recently code 37241 has been touted as potentially proper coding for an endomechanical ablation of a saphenous vein. The reimbursement is fantastic. It is an inclusive code. Medicare pays it quickly. As my mother always… Read More

Chart Audits

Coming to a Practice Near You by Cheryl Nash This year has been an exciting one for audits. The government has ramped up both RAC and ZPIC audits, as well as audits from Medicare Advantage Plans. If you participate with… Read More

Quick Patient Satisfaction Idea

What You See… You Believe by AJ Riviezzo Word of mouth advertising is worth its weight in gold. We all know this. So how do we help to ensure a satisfied patient? One recommendation that has worked in some practices… Read More

Affordable Care Act Impact

How to Protect Your Practice by AJ Riviezzo There are a variety of moving parts with the Affordable Care Act (ACA) that can impact your practice ranging from changes in payer reimbursement to your own individual or small group health… Read More

Reviewing Your Own Documentation

What to Compare Against by AJ Riviezzo As you know, we perform a number of chart-to-bill, bill-to-chart audits for consulting clients. A lot of the feedback we render is related to how well – or not so well – the… Read More

Diagnostic Imaging

Is a Separate Report Really Required? by Cheryl Nash Here at American Physician we do quite a few chart and documentation reviews. As a full service billing company, we also provide appeal services and see the feedback from the payers… Read More

Consent to Treat and ABN’s

Inane Paperwork by AJ Riviezzo A few quick items on consent to treat forms and a recommendation as well. 1. Have you reviewed your consent to treat form in the past year? If not, you may want to read through… Read More

CMS Letter Requesting Revalidation

Keep Your Medicare On by  Cheryl Nash CMS (Medicare) is systematically sending out letters to their participating Medicare providers requesting re-validation for both individual and group entities based upon your NPI numbers. You may have already received yours, or you may… Read More

Payment for Tumescent Anesthesia

How to Ask for an Audit by AJ Riviezzo I recently received a couple different inquiries asking about using an anesthesia code.  The theory is that the tumescent ‘anesthesia’ that is delivered during an ablation should be reimbursed.  Further, each… Read More