Category: Art-Orthopaedics

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Spine Practices May Lose Money When They Do Not Bill for Consults

Healio- October 2016 by Kim Pollock, RN, MBA, CPC and Teri Romano, BSN, MBA, CPC, CMDP Medicare eliminated payment for consultations in 2010, which resulted in significant revenue losses for spine surgeons and all specialists. All office consultations for Medicare patients became a new or established patient, or an emergency department visit if the patient...

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Are CMS and Other Payers Requiring –X{EPSU} Modifiers?

Commonly Asked Coding Questions – September 2016 by Sarah Wiskerchen, MBA, CPC  Q: Are the Centers for Medicare & Medicaid Services (CMS) and other payers requiring use of –X{EPSU} modifiers? A: Although the four –X{EPSU} modifiers were initiated by CMS, they have also been part of the Common Procedural Terminology (CPT) manual since 2015. These four...

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Setting Up Your New Physician for Success

The American Journal of Orthopedics – September/October 2016 by Cheryl Toth, MBA Practices and hospitals invest significant time and money in recruiting a new physician. From phone interviews to site visits to contract negotiations, it’s a long and involved process. Beyond setting up a new physician’s office and appointment schedule, completing human resources paperwork, and...

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“Clean Up” Diagnosis Coding for Staged Revisions

“Clean Up” Diagnosis Coding for Staged Revisions – July 2015 by Margaret M. Maley, BSN, MS Assigning diagnosis codes for joint revision surgery is challenging in both ICD-9-CM and ICD-10-CM. Orthopaedic practices that carefully examine the instructions in both editions may find that they have been reporting staged revisions incorrectly for years. The following side-by-side comparison...

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Don’t Let Sprain and Strain Drain Your Brain

Don’t Let Sprain and Strain Drain Your Brain – April 2015 by Margaret M. Maley, BSN, MS Reporting sprains and strains using ICD-10 Sprains and strains are common injuries in orthopaedic patients. Knowing how to describe these injuries with the correct ICD-10-CM code will be very important when October 2015 rolls around. Read Full Article

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Matrix Management

AAOS Now – June 2014 by Jennifer A. O’Brien, MSOD Matrix management means that an employee may have multiple reporting relationships. A unilateral decision by one of the managers could affect the productivity and work flow within the other units or other overall business goals such as eliminating the expense of unnecessary overtime or achieving...

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Measuring Up: What An Orthopaedic Group Should Expect In A Practice Manager/CEO

AAOS Now – May 2014 by Jennifer A. O’Brien, MSOD On any given issue within a group practice—whether operational or organizational—it may be difficult for an individual physician partner to see the issue from any perspective other than his or her own. Older physicians sometimes don’t understand the younger physicians’ points of view and vice versa....

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Therapy Billing for Beginners

AAOS Now (Volume 4, Number 12) – November 2010 by Sarah Wiskerchen, MBA, CPC How to bill for physical, occupational therapy Orthopaedic surgeons are increasingly incorporating physical and occupational therapy services into their practices. In-house billers, who may be inexperienced with the new services, terminology, and associated CPT codes, may be apprehensive about the move. Clarifying the services,...

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