The Second Referral is Always Better than the First by Julia Porterfield It is said that the hardest referral to get from a practice is the first; but truth be told it really is the second. Marketing blogs and books can help determine which specialists, social media or outreach avenues are most likely to provide […]
PAYER GUIDELINES
Have You Read Yours? by Cheryl Nash We are well into 2012 and the insurance companies are releasing their Medical Necessity guidelines for Varicose Veins. Some changes are minor, or nonexistent, and some changes are major, and will completely alter the way you need to document the rationale for treating your patients. There are a […]
5010 TRANSITION
Some Interesting… and Disturbing… Results by Cheryl Nash As you may be aware, electronic claim formats have been switched from an older 4010 format to a newer 5010 format. The new format was to be implemented on January 1, 2012 to be ICD-10 compliant prior to mandatory use in October of 2013. Live sending commenced […]
DVT Outreach
Another Reason to Refer to You by AJ Riviezzo One ‘campaign’ that has been successful for a few of our clients is to provide same-day service on referrals for DVT scans. In many areas, the PCP has limited options for sending their patient out for an ultrasound on a suspected DVT. If you have a […]
Marketing Thoughts
For Your Consideration by Marcy Riviezzo Health Fairs: For whatever reason, there tends to be a number of health fairs after the first of the year in most areas. Some practices have done very well at health fairs and some… not so well. If you do attend one, do not forget to market not only […]
Sclerotherapy Billing
Sclero… One More Time by AJ Riviezzo My apologies to our regular readers but I received quite a number of questions regarding Medically Necessary Ultrasound Guided Sclerotherapy. Below is our answers to two very frequent questions posed at the this year’s ACP Annual Congress: Is Medically Necessary Sclerotherapy Paid for by Insurance Plans? Medicare and […]
CAQH and the Physician
Something Else to Worry About by Marcy Riviezzo What is CAQH and why does this impact me and my practice? The best way to describe CAQH comes directly quoted from their website: “The Council for Affordable Quality Healthcare (CAQH) is a council of 25 of America’s largest Health plans and insurers and three of […]
Quick Hits
Some Info for You by AJ Riviezzo E-Prescribe: The deadline for submitting a request for exemption from the E-prescribe program is November 1st. One way to be exempt is for the practice to be below a 10% threshold of specific codes. Most of these codes are essentially Evaluation and Management codes. Almost all phlebology practices […]
Administrative Law Judge
Follow Up Information on ZPIC Audit by AJ Riviezzo American Physician recently supported a practice that was involved in a ZPIC audit (essentially like a RAC audit except this was prospective and not retrospective). Eight of our ablation claims were denied at the first and second level appeal stages. This left using an Administrative Law Judge […]
Moving Your Practice Forward
Free (or Close Enough) Support by AJ Riviezzo Phlebology is an interesting niche as it is becoming one of the few types of practice where there is a solo physician owner. This creates some unique opportunities and challenges as most of the physicians that start a phlebology practice have worked for a larger group, a […]