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In scenario where patient moves from ER to outpatient surgery, split the bill

05/02/2016

Question: A patient is seen in a hospital emergency room for an orthopedic issue (E/M code 99284). In the ER, an orthopedic surgeon is called in to evaluate and he decides to operate – yet the patient hasn't been admitted as an inpatient. How should this be billed?

Don’t hold too tightly to departing providers’ patient lists

05/02/2016

by: Roy Edroso

Treating patient lists as a “trade secret” that doctors can’t take with them when they leave may lead to legal challenges and expensive settlements; instead try crafting contract language that gives departing providers, your practice and your patients what they need.

Use checklists, probing questions to boost providers’, patients’ use of ACP

05/02/2016

by: Roy Edroso

Many providers have trouble initiating and engaging in advance care planning (ACP) discussions with their patients — and sometimes vice versa. But simple techniques and guidelines can help both parties buy in for improved care and increased practice revenue.

Choose frequently performed services for your cross-cutting measure to ace PQRS

05/02/2016

by: Richard Scott

Focus on your high-volume activities that you have a penchant for performing well to choose the best cross-cutting measure for your physician quality reporting system (PQRS) submissions in 2016.

PQRS reporting rates increase yet penalties hit thousands of providers

05/02/2016

by: Richard Scott

A majority of eligible providers (EPs) — 62.2% — successfully participated in the physician quality reporting system (PQRS) in 2014, avoiding a 2% pay cut for 2016 Medicare fee schedule rates. Yet that leaves hundreds of thousands of providers who are being hit with a 2% cut this year.

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