American Physician Financial Solutions

Practice managers and physician-owners have so many things of which to keep track. Trying to ensure your internal biller or external billing company is doing some of the right things is just another added burden. Below are a few quick items that are easily reviewed and can give you a bit of peace-of-mind. With so […]

This has to be one of the most utilized codes on phlebology claims. We see this code appended to all claims, from office visits, to diagnostic ultrasounds, and even appended to procedures. While this code is perfectly appropriate to report venous reflux, and is also an approved code for diagnostic ultrasound, it is not usually […]

Comparative Billing Reports (CBR’s) – You may have received one of these recently or will be in the coming weeks.  Several of the providers we work with have already done so.  The letter may show that your practice has been identified with an unusual billing pattern, specifically for CPT codes 93970 and 93971. Well don’t […]

An excellent question which is usually met with a variety of answers.  Detailed below are some of the more common reasons a claim is not being paid and steps to correct (or avoid) them in the future. No Referral:  For some time, the medical home model had started to disappear.  Patients were allowed to self-refer […]

I get this question quite often, and wanted to write an article to specifically address what you can and cannot bill for. Technically you can “bill” for anything that you do; this is not the true question. The real questions is…  should you? Submitting medical claims includes some very specific legal requirements and practices that […]

While often used as synonyms, at the HMO/PPO they are two very different processes conducted by two very different departments. Credentialing is a review of the physician or physician extender. It is a meeting of the credentialing team, typically physicians and other allied health professionals, who take a look at the physician’s record to see […]

  Medicare delayed publication of the meaningful use guidelines for stage 2 and did not meet their self-imposed 90 day notification timeframe. This has created a window of opportunity for the practice to file a 2015 hardship exemption to avoid penalties this for 2017. The practice should apply for an exemption under the ‘extreme and […]

During the past year we have commented on some of the newer technologies. As I still receive a number of questions about them, I thought an end of year re-cap might be in order as we all begin to contemplate how to have a successful 2016. Varithena: We have had good success billing for Varithena […]

The Office of the Inspector General’s work plan for 2016 has been released, and after reviewing the plan for next year, we are happy to report that there is not much of concern to the phlebology practice. Of note is a new work order regarding referring and ordering Medicare services and supplies. The order states […]

Skiing, Sharing, Learning On the last weekend of January, the 28th through the 30th, Phlebology Colorado is hosting their 7th annual meeting in Telluride, Colorado. The link to this event is: http://www.conferencematters.co.nz/colorado/index.php