Getting Paid What You’re Due

Studies show that practices are routinely underpaid on their fee for service claims in government and commercial claims. In our fast paced payment posting world, where hundreds and thousands of line items are posted from a single electronic remittance file, a human is often not even able to see what would otherwise be obvious. So, how can anyone be certain that their claims have been adjudicated correctly and that the practice hasn’t been short changed? Even if you look at your data regularly, knowing whether you are getting paid for the services you bill out if difficult because no two payers process claims exactly alike. Each payer uses proprietary rules from ranking of RVUs, to which CPT code is in what order on the claim form and then modifies the payment based on the place of service, whether a provider is [...]

By |2018-06-19T08:27:29-04:00June 19th, 2018|2018 Centricity LIVE, Billing, Presentation, Revenue Cycle|0 Comments

Cycle Through the Success of Ortho NorthEast’s Instant Access Clinic

Ortho NorthEast will walk you through our implementation process and the progression of our first two years of our Ortho Walk in Clinic.  We will demonstrate our planning process from ramping up the first clinic to opening a second location.  Learn how we recruited advanced practitioners for this role.  We will show you how we manage front desk and clinical staffing to support the clinic.  Learn how we use GE Centricity to assist us with reports that track patient appointments, surgical referrals, length of office visit, lobby wait duration, etc to support the success of this clinic to our practice.  We will reveal how we use GE Centricity as a scheduling tool with our triage form to guide schedulers in directing eligible patients to the Walk In Clinic. Click the link below to view the 2018 Centricity™ LIVE presentation. EMR24 Cycle [...]

By |2018-07-11T15:26:42-04:00June 19th, 2018|2018 Centricity LIVE, Clinical, Presentation, Scheduling|0 Comments

Mother May I? Use EMR Forms to Reduce Your Billing and Precert Costs

As health care providers, we want to offer the very best quality care to each of our patients. The clinical documentation processes that physicians follow are arguably as important as their interactions with patients. EHR notes can increase communication within the practice, provide better continuity of care, and improve claim reimbursement. Learn how to create EHR forms that pull relevant information into forms specifically designed for the precert department. And see how Ortho Northeast has utilized their EHR forms to improve clinical notes that ensure the payer has the necessary information to authorize or pay a service. Better yet, they can ensure coding compliance with payer guidelines and follow coding rules. Click the link below to view the 2018 Centricity™ LIVE presentation. EMR59 Mother May I Use EMR Forms to Reduce Your Billing and Precert Costs