Part B News | Physician Practice Perspectives

Informed administrators are the key to a successful billing staff

05/01/2010

One of the biggest mistakes billing staff can make is to rebill a claim without taking the time to call the insurance company to find out why the claim was denied. Rebilling once or twice is bad enough, but some employees take it even further.

Medical practice leaders are frustrated about Medicare's PQRI data requirements

05/01/2010

A national organization representing medical practice leaders says it is increasingly frustrated by what it terms the “unnecessarily arduous process” for reporting data to Medicare’s PQRI. Once the reports are filed, there is an “unreasonable lag time” for results, the group states.

Practice board meeting: What's on the agenda? What's not?

05/01/2010

Depending on how well they are organized, board meetings can provide vital monthly or quarterly face-to-face time among the decision-makers to keep your physician practice running smoothly. Or they can devolve into a cat rodeo—a huge waste of time and energy where very well-educated, opinionated, highly trained professionals find themselves arguing over the everyday and trivial issues that should be solved on the middle-management level.

Evaluating decontamination procedures prior to sterilization

05/01/2010

With increased regulatory attention devoted to sterilization procedures through The Joint Commission, CMS, and your state health department, those responsible for decontamination need to be sure every part of the sterilization process is reviewed and accounted for, not only to ensure patient safety, but also to provide a safe working environment for employees.

Costly documentation and coding woes beset providers

05/01/2010

Despite increased scrutiny from CMS and private payers, many provider organizations continue to make costly mistakes in coding, documentation, and often in both.

There’s no shortage of resources, of course. So what’s the problem? Three experts with extensive consulting experience share what they’ve seen and offer some advice.

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