Patient Payment On File Programs Support Financial Liquidity and Stability

Posted by Practice Management Institute on Nov 20, 2018 10:46:32 AM


By: Steven Kleinberg EVP, COO, CardChoice International

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Rochester Billing Supervisor Shares Journey to Coding Certification

Posted by Practice Management Institute on Nov 18, 2018 2:28:48 PM


“I think the medical billing field chose me instead of me choosing it,” said Tammy Cooper, a newly certified coding professional in Rochester, NY. “I started as a per diem evening receptionist after my husband urged me to get out of the house and use my brain instead of spending all day, every day with our two toddler daughters as a stay at home mom.”

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How to Address Risk Adjustment for Providers and Medical Coders

Posted by Practice Management Institute on Nov 11, 2018 4:53:02 PM


Health care providers are bearing more financial risk than ever before as more commercial and government payer arrangements progress. With more Accountable Care Organizations (ACOs) moving into downside risk in 2019 and many more medical groups focusing on Medicare Advantage, CPC plus, and customized commercial capitation deals, the risk adjustment of their population matters significantly. For providers and medical coding personnel, proper documentation and specificity of a patient's illness and burden of disease is now paramount.

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PMI Announces San Antonio as Host City for its 2018 National Conference for Medical Office Professionals

Posted by Practice Management Institute on Nov 11, 2018 2:42:36 PM


PMI National Conference for Medical Office Professionals

Practice Management Institute® (PMI) has set the dates for its largest learning event of the year in San Antonio, October 10-12. Medical practice administrators, coding, reimbursement and auditing professionals, and compliance officers are encouraged to attend. Participants will learn strategies for professional growth and guidelines for working smart in today’s complex administrative environment.

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Negotiating Payer Contracts

Posted by Practice Management Institute on Nov 6, 2018 4:51:29 PM

Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher.

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How hospitals and healthcare organizations use PMI to win fans and influence physicians

Posted by Practice Management Institute on Nov 28, 2017 3:20:04 PM


By David T. Womack, President/CEO of Practice Management Institute

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Certified Medical Coders Protect Provider Reimbursement

Posted by Practice Management Institute on Nov 20, 2017 11:13:00 AM


Billing problems are an ongoing point of frustration in medical offices. Errors and denials can quickly snowball, creating big revenue cycle problems. One study from BMC Health Services Research found that time spent coding, filing claims and obtaining prior authorizations, cost the U.S. healthcare system as much as $471 billion in 2012.[1]

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Why We Host

Posted by Practice Management Institute on Nov 11, 2017 9:06:35 AM

Why We Host: An Interview with Lisa Lee, Senior Manager, Outreach Development for University Health System

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$68 Billion in Medical Billing Errors Puts Physicians’ Livelihood in Jeopardy

Posted by Practice Management Institute on Nov 8, 2017 12:28:50 PM

MAY 15, 2017 -- As many as 80 percent of all medical claims submitted to insurance carriers contain mistakes estimated at $68 billion (1). Approximately 55 percent of evaluation and management (E/M) claims are incorrectly coded resulting in $6.7 billion in improper Medicare payments.(2) Providers looking to avoid lost revenue and serious consequences are raising the training standards of its administrative staff seeking out those who have completed specialized training and certification offered by Practice Management Institute (PMI).

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Using EHR Medical Coding Shortcuts May Put Physicians at Higher Audit Risk and Increase Billing Denials

Posted by Practice Management Institute on Nov 5, 2017 10:54:01 AM

Medical coding errors can cause considerable damage to both patients and providers in the form of inaccurate medical bills and lost revenue for the medical office. The best practice is to employ well-trained and qualified staff to ensure that correct claims are submitted for reimbursement the first time.

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Coding Guidelines and Preparation for Zika Virus

Posted by Practice Management Institute on Nov 7, 2016 11:00:58 AM

Zika first hit the Americas in March of 2015, from tourists who traveled to Brazil to watch the World Cup. According to the CDC, as of August 31, 2016, there have been 2,722 cases of Zika in the U.S., 35 of those cases were contracted within the country.  All 35 cases were contracted in Florida. It is predicted that Zika will spread most prevalently in locations where Brazilians often travel to and where the Aedes Mosquito that carries the Zika virus lives.

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Outsourced Billing and Coding – Compliance Risks

Posted by Practice Management Institute on Nov 27, 2012 8:29:02 AM

Written By: Robert Liles

Originally found at:

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