billing

Hello all, I'm considering starting to expand my practice into SNF consulting and hoping to do it full time for a while potentially (I've been out of fellowship just a couple years and I'm getting burnt out with the current pain practice I'm in). Considering going with one of the larger...

CMS states the G2211 code modifier can be applied to “ongoing medical care related to a patient’s single, serious condition, or complex condition,” and that “G2211 captures the inherent complexity of the visit that’s derived from the longitudinal nature of the practitioner and patient...

New community oncologist. For new heme patients (anemia, leukopenia, MGUS, VTEs), do you typically bill 99204 or 99205? I have seen both being done by different physicians. Is there a nuance to this? Do you bill 4 or 5 more for these visits?

I find that I rarely do 99213 follow-up visits, and I don’t think I have ever done a 99203 new patient visit. Is this normal in Hem/Onc community practice? My 99213s are probably ~10% of total visits, if that. Usually MGUS, iron deficiency anemia which has now resolved, anemia with chronic...

We will be starting TMS in our clinic and this is the first in this group. So we had lot of questions about billing and security. We sorted out most of the things but left with one question which is about RVUs. CPT codes 90867, 90868, 90869 have no RVU values. In that case, how do you negotiate...

Wanted to see what other options for billing and EHR systems are out there and who has had good success with them. Currently a partner in a multispecialty group (see around 150 patients a day providers combined) and we are currently using Allscripts and their associated billing company. We...

Hello all. I'm a PGY-4 graduating this month and preparing to start my solo practice. I plan to start out as an insurance practice and see where things go. Earlier in the year I learned about an organization called Headway, which says they will credential me with around 6 payors and gave me a...

I have an out of network private practice. I'm trying to make my intake process more efficient and streamlined. I am very interested to hear how everyone else does it. Here is my process: 1. Get an inquiry from a potential patient (email, call, referral, etc) 2. Brief screening phone call with...

Building a private practice, N of 1. Enjoy. Month zero: Grand plan was to use money from inpatient gig where independent contractor doing own billings to expedite insurance paneling, so all I had to do was switch over the practice address once opened. Long story short, not a quality place I...

Hi all - I work for a big academic medical center that does its billing via an internal hospital-owned entity. The internal billing entity is not anesthesia-specific, although they have a decent number of anesthesia dedicated coders/billers. I suspect there is a lot that isn't captured in our...

I've been trying to shave time documenting my HPIs and have essentially abandoned the paragraph format. Now I'm using a bullet-point style but others in my office think it loses context.. My example: - Onset: - Context: - Symptoms: - Timing: - Severity: - Aggravating: - Alleviating: - ROS...

I'm hoping to get some opinions on this... I took a position with a group practice 6 months ago. I have been building a panel on the slower side and talked to my medical director about this, however the admin told me that once I got on UBH I would be fine and ramp up. Little did I know that...

Anyone using kareo for private practice billing? My group just switched over and Im having difficulty reading the billing summary. It has 4 headers: Charges, Payments, Adjustments Balance For example: Mr. X 99308 encounter in the nursing home: Charge: 150 Payment 48.78 Adjustment 78.65...

Hi all! Quick question anyone work at a location that does not do part B billing? The pharmacy I am at does not bill part B and because of this the PIC is convinced we can't bill part D for flu shots... This makes no sense to me. We don't bill part B for test strips so why are flu shots any...

We are a medical billing, consulting, EMR,PM,EHR, support and implementation company located right in the heart of the U.S. With over 12 years in continued medical billing, software and technology solutions, and a history of working with some of the most renowned providers, we’ve been committed...

So this may have been discussed in a previous thread, but I wasn't really able to find anyone answering my specific question. From what I've seen on here in a few different sub-forums and threads, residents aren't able to bill for seeing patients until after they they've finished their...

Can someone explain the difference between "base units" in the ASA RVG and RVUs? I was looking at Dr. Faubel's wRVU/RVU guide and notice the RVUs are much lower than what I see in the RVG. I'm transitioning to PP, not good with this stuff. Dr. G

Our program requires us to spend an hour after clinic filling out coding and billing forms for all the patient encounters of the day. Is this commonplace? Is there a ACGME Milestone or other such requirement that states that residents should be spending time submitting billing codes? I...