Evaluation and Management Services Will See Big Changes in 2021

Posted by Nancy Clements on Aug 5, 2020 4:00:00 PM

The Centers for Medicare and Medicaid Services’ recently announced that Evaluation and Management (E/M) visits will soon get some relief from burdensome coding and billing requirements. These billing and documentation requirements for E/M codes were established 20 years ago and have been subject to longstanding criticism from clinicians that they do not reflect current care practices and needs.

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Topics: Practice cash flow, medical practice issues, medical billing, medicare, E/M coding

5 Ways to Improve Patient Collections in a Medical Practice

Posted by Practice Management Institute on Sep 24, 2019 8:11:00 AM

A Medical Office Manager’s Guide to Patient Collections

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Topics: Practice cash flow, medical office manager topics, medical billing, financial management

Identifying Medicare Overpayments and How to Resolve Them

Posted by Practice Management Institute on Aug 1, 2019 4:22:44 PM

In a busy medical practice, the risk of error runs high. This is a dangerous assertion when you consider that mistakes in a medical record can negatively impact a patient’s health. Mistakes made repeatedly in medical claims may flag your practice for an audit and, if overpayments are found, can result in huge fines and penalties from the government.

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Topics: Practice management, PMI Certification, cmom certification, medical practice issues, medical fraud, medical billing, medicare

In-house vs. Outsourced Billing: Tips for Medical Office Managers

Posted by Practice Management Institute on Jun 26, 2019 8:11:33 AM

Portions of this article were originally published in BC Advantage Magazine March 5, 2019

A whopping 25 to 31 percent of total health care expenditures in the U.S. are administrative costs, according to a time-driven, activity-based costing study published last year in the Journal of the American Medical Association (JAMA)1. These are huge margins for healthcare providers already squeezed by insurers and increasing costs of care. You may wonder if the grass is greener on the other side.

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Topics: Practice management, CMOM, PMI Certification, Certified Medical Office Manager, medical office manager topics, medical practice issues, medical billing