Practice Management Institute Names Washington County Community College 2023 Outstanding National Host Partner

Posted by Practice Management Institute on Jan 26, 2024 4:38:21 PM

Practice Management Institute (PMI) has named Washington County Community College (WCCC) its 2023 Outstanding National Host Partner. The award, chosen nationally from among hundreds of hospital, college, medical society, physician service group and program host partners, is given to an organization who has demonstrated exceptional commitment to partnering with PMI for the purposes of advancing educational opportunities within their service area and state.

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Topics: medical billing, medical coding, patient billing, medical office training, physician relations

Catholic Medical Partners Buffalo Hosts CPT & Regulatory update Training

Posted by Michael Moore on Jan 15, 2024 3:18:33 PM

This week in Buffalo- PMI will present new instructor-led webinars with long-time PMI host Catholic Medical Partners.

PMI is a proud educational partner of Catholic Medical Partners in Buffalo, NY. For 27 years, we have joined forces to provide quality educational and credentialing programming to local and regional medical practice staff, and we’re thrilled to kick off yet another year of much needed programming to keep practice staff in the know.

Leading the 2024 Reimbursement Update: CPT© and Medicare Compliance and Mastering EM Coding sessions will be PMI faculty presenter Audrey Coaxum, CHC, CPC, CEMC, CMC, CMIS, CMOM, CMCO. Audrey is an exceptional instructor, and is known nationally for her easy to follow teaching skills and exceptional knowledge base.

New CPT® code and regulatory changes for 2024 will go into effect on January 1st. Numerous proposals include conversion factor payment increases for primary care / direct patient care, caregiver training services, and services involving community health workers, care navigators, and peer support specialists. The implementation of a separate add-on payment for HCPCS code G2211 is also proposed, which is expected to improve the accuracy of payment for primary and longitudinal care.
 
In the morning session, Audrey will help prepare attendees for the impact of coding and regulatory changes. This annual update program will help students forecast the impact on billing for their particular specialty in 2024. The training will help participants reduce denials and stay in compliance in the New Year. All proposed key changes to the procedural code set, guidelines and issues that may impact provider reimbursement are being addressed.

E/M lays the groundwork for the reimbursement process. It is also a well-known audit trigger. In the afternoon Mastering EM Coding session,  Audrey will provide the tools needed to internally monitor billing compliance. Participants will learn to relate accurate code selection to proper reimbursement, and will receive a comprehensive explanation of E/M coding and documentation guidelines, and identification of accurate and clinically useful information.
 
Huge shout out to Lea Passage, MHA, CLP, Physician’s Relations Specialist, for once again playing host, and for continually having the backs of her providers and staff.

The Catholic Medical Partners mission is to provide a high-performing health care system that continuously improves upon the delivery of health care to the populations they service, and to demonstrate improvements in the patient experience, preventative health, and the care and treatment of patients with high burden of illness with a lower the cost trend.

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Topics: medical billing, medical coding, patient billing, medical office training, physician relations

University Health hosts PMI's annual 'Reimbursement Update' class in San Antonio

Posted by Michael Moore on Dec 8, 2023 2:05:06 PM
PMI is a proud educational partner for University Health in San Antonio. This stellar organization is growing in San Antonio with a powerful, positive impact on the community. We congratulate them on the new Women’s and Children’s Hospital, and could not be more grateful for the partnership, which brings regularly scheduled, high-quality training and credentialing programs to regional practice staff.

Today, PMI faculty/presenter Lisa Maciejewski-West, CMC, CMIS, CMOM, CMCA-E/M, CPCO, owner of Gold Star Medical Business Services, taught morning and afternoon sessions: 2024 Reimbursement Update: CPT and Medicare Compliance.  Lisa teaches with a great deal of experience and know-how, and her uplifting and engaging presentation style makes for a great session. So well done!

New CPT® code and regulatory changes for 2024 will go into effect on January 1st. Numerous proposals include conversion factor payment increases for primary care / direct patient care, caregiver training services, and services involving community health workers, care navigators, and peer support specialists. The implementation of a separate add-on payment for HCPCS code G2211 is also proposed, which is expected to improve the accuracy of payment for primary and longitudinal care.

Lisa is helping to prepare attendees for the impact of coding and regulatory changes. This annual update program will help students forecast the impact on billing for their particular specialty in 2024. The training will help participants reduce denials and stay in compliance in the New Year. All proposed key changes to the procedural code set, guidelines, and issues that may impact provider reimbursement are being addressed.

We’d like to thank Magdalena Barrera, University Health Assistant Director of Outreach and Business Development, for hosting another successful day of training. Magdalena is as good as it gets in a host-partner liaison.
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Topics: medical billing, medicare, medical coding, medicare compliance, patient billing, medical office training, Client Relations

Pain Management Coding: guidelines for correct claim submission

Posted by Practice Management Institute on Sep 19, 2022 9:45:00 AM

Pain management treatments are primarily performed by an interventional pain management specialist, physiatrist, anesthesiologist, orthopedic surgeon, or neurosurgeon, and can include physical or occupational therapy, over-the-counter or prescription medication, neurostimulators, and injections.

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Topics: medical billing, Pain Management, medical coding, patient billing, medical office training

How Can Changes in Telemedicine Financially Impact Your Practice?

Posted by Practice Management Institute on Aug 23, 2021 8:09:34 AM

The rapid evolution of telehealth services has helped keep medical practice virtual doors open to meet their patients' health needs during the pandemic. But with new utilization comes cautionary areas from a billing standpoint, and it's important to stay current on updates and compliance protocols to promote revenue growth and avoid financial loss. 

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Topics: Practice management, payer contract, medical office compliance, medical practice issues, medical billing, financial management, medical coding

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: E/M coding, medical coding, evaluation and management

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