Medical Office Blog

News and information you need to run your office.

Healthcare Risk Assessment

Posted on | January 25, 2012 | Comments Off

As you primary care folks know, the Annual Well Visit requires a Health Risk Assessment (HRA) be completed in addition to the G0438 and G0439.

The CDC was tasked with developing the HRA tool and I’ve attached it to this email.  See it here.

The form can be completed by office staff, the patient, or a combination of patient and staff.  Remember to have the patien and the physician that reviews the form sign off on it and keep a copy in either the chart or scan in the EMR.  You could even make this part of your EMR and ask questions from the EMR.

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5010 Implementation Discretion Period of 90 Days

Posted on | December 8, 2011 | Comments Off

Hey, CMS has decided to give a 90-day discretion period for all Health Insurance Portability and Accountability Act (HIPAA) covered entities – Enjoy this article from the AAPC.

http://news.aapc.com/index.php/2011/12/5010-given-grace-period/

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA

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Here We Go Again With The Medicare Fee Schedule Cuts for 2012

Posted on | July 21, 2011 | Comments Off

Hey everyone,

The latest news from CMS is that the proposed fee schedule cut, this year, will be 29.5% if “Congress Fails to Act.”  This is the tenth year providers have faced cuts in reimbursement – This link shows you some of the details:

http://www.healthcare.gov/news/blog/physicians07012011.html

Steve Adams, CPC, CPC-H, CPC-I, PCS, FCS, COA

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Great Link to some answers for those Tricky Evaluation and Management Questions

Posted on | July 6, 2011 | Comments Off

I’m often asked questions that are available on many carrier web sites regarding tricky documentation guidelines for evaluation and management services.

Take a look at this link for some great FAQs on E/M services:

https://www.cahabagba.com/part_b/education_and_outreach/evaluation_and_management_services/faqs.htm

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA

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Don’t Forget To Get Your ERX Claims Filed Prior to June 30th Or Face Penalty

Posted on | June 30, 2011 | Comments Off

To become successful electronic prescribers for purposes of avoiding the 2012 eRx payment adjustment, eligible professionals must report the eRx measure for a required minimum number of unique eRx events via claims between January 1, 2011 and June 30, 2011.

This link to CMS outlines how to avoid the 1% penalty next year:

https://www.cms.gov/ERxIncentive/03_How_To_Get_Started.asp

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA

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Contact Information for All CMS RAC Auditors

Posted on | June 21, 2011 | Comments Off

Each month you should check the individual RAC web site for your area to make sure you are aware of current audit issues…

Here is a link to every Recovery Auditor Contractor in the United States:

http://www.cms.gov/Recovery-Audit-Program/Downloads/RACAbbr.pdf

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA

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What do you mean I can’t bill for services provided to dead people?

Posted on | June 21, 2011 | Comments Off

When people ask me for an example of Healthcare Fraud I tell them: “If you bill Medicare for services provided to dead people - that’s fraud.”

The following is from the FBI web site and supports that statement:

http://www.fbi.gov/atlanta/press-releases/2011/doctor-pleads-guilty-to-billing-medicare-and-medicaid-for-counseling-sessions-with-dead-patients

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA

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Must Read Article on Proper Use of Modifier 33?

Posted on | June 16, 2011 | Comments Off

If you haven’t read this, here is a great link to an article that address the proper use of Modifier 33 for preventive services:

http://www.ama-assn.org/resources/doc/cpt/new-cpt-modifier-for-preventive-services.pdf

Steve Adams, MCS, CPC, CPC-H, CPC-I, PCS, FCS, COA  sadams@magmutual.com

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More proof that it really is all about the revenue

Posted on | June 15, 2011 | Comments Off

Just after I post an article on the number of physicians leaving private practice to work for “someone else,” we see what the economy can to “someone else:”

http://www.ajc.com/news/atlanta/grady-memorial-hospital-to-976784.html

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Why are more and more physicians leaving private practice to become employees?

Posted on | June 15, 2011 | Comments Off

I’ve spoken to several coding groups across the country and told them it is so very important to do a great job at “converting provider work into maximum legitimate revenue.”  If you need a check-up let me know.  This link takes you to an article lets you see why more and more physicians are leaving private practice and becoming employees:

http://www.upi.com/Health_News/2011/06/14/More-physicians-leaving-%20%20private-practices/UPI-84191308100918/?spt=hs&or=hn

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