Posts Tagged physician fee schedule

The Complete Guide to Revenue Cycle Management – A New Comprehensive Course from Manage My Practice

Posted by Abraham Whaley on February 19, 2013

You spoke and we listened – you asked for a comprehensive course on Revenue Cycle Management and we brought it to you!

This series is for anyone who wants to understand the medical practice revenue cycle from the very beginning to the very end: physicians, physician assistants, nurse practitioners, advanced practice registered nurses, practice administrators, office managers, consultants, vendors, students, coders, billers and those who want a RCM foundation to enter the healthcare field. Anyone who wants to know more about how reimbursement in healthcare works in the medical practice will find this comprehensive series indispensable.

You won’t find this comprehensive course anywhere else except at Manage My Practice. Webinar leader Mary Pat Whaley, FACMPE, CPC has developed this program from 25+ years of experience in medical practice management and from requests she gets weekly for education on the revenue cycle management process.

The Complete Guide to Revenue Cycle Management – a Five Module Comprehensive Curriculum

Module I. The Foundation

Payer Contracting
Credentialing
Payer Matrix
Setting a Fee Schedule
Understanding Medicare Part B

Module II. The Data Build

Practice Management System Set-up
Allowables
Patient Demographics & Insurance Information
Eligibility & Benefits
CPTs, HCPCS, ICD-9

Module III. The Pre-Claim Process

Collecting at TOS
Documentation: Paper vs Electronic Medical Records (EMR)
Physician Coding vs. Abstraction Coding
The Superbill vs. Using the EMR to Bill
Claim Scrubbing: The Three Gates

Module IV. The Post-Claim Process

Write-offs, Denials and Appeals
Daily Reconciliation Process
Patient Collections and Payment Plans
Refunds
Recoupments

Module V. Monitoring

Monthly Reports
The Practice Dashboard/Snapshot Report
Strategies for Improving Revenue
Benchmarks for Staffing
Revenue Cycle Compliance and Auditing

Also Included! Action Pack – Handouts in Word/Excel

Contract Reference Matrix
Contract Review Template
Fee Schedule Worksheet
Medicare Resources
Allowable Cheat Sheet
Write-off Approval Form
Daily Reconciliation Form
Refund Request
Monthly Report List
Sample Snapshot Report
Sample Revenue Cycle Compliance Plan

Here’s what one attendee wrote about a recent Manage My Practice Webinar “Information was right on! Great examples and real life experiences.”

5-Week Course for $799.00 (Two Options)

Option One : Every Tuesday for Five Weeks – March 12, 19, 26, April 2, and April 9

Click Here To Register!

Module I: Tuesday, March 12 @7pm ET for 90 minutes

Module II: Tuesday, March 19 @7pm ET for 90 minutes

Module III: Tuesday, March 26 @7pm ET for 90 minutes

Module IV: Tuesday, April 2 @7pm ET for 90 minutes

Module V: Tuesday, April 9 @7pm ET for 90 minutes

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Option Two: Every Thursday for Five Weeks – March 14, 21, 28, April 4 and April 11

Click Here To Register!

Module I: Thursday, March 14 @1pm ET for 90 minutes

Module II: Thursday, March 21 @1pm ET for 90 minutes

Module III: Thursday, March 28 @1pm ET for 90 minutes

Module IV: Thursday, April 4 @1pm ET for 90 minutes

Module V: Thursday, April 11 @1pm ET for 90 minutes

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Mary Pat Whaley, FACMPE, CPC has 25+ years managing physician practices of all sizes and specialties in the private and public sectors. She is Certified Professional Coder, is Board Certified in Medical Practice Management and is a Fellow in the American College of Medical Practice Executives. Mary Pat has been providing free information and resources to physicians, care providers and medical practice executives since 2008. For questions about “The Complete Guide to Revenue Cycle Management” webinar, contact Mary Pat at (919) 370-0504.

Tags: allowables, appeals, benchmarks, claim scrubbing, collecting at time of service, CPT Codes, credentialing, denials, eligibility and benefits, fee schedule, HCPCS Codes, how to learn about medical office billing, how to learn about medical office insurance, ICD-9 codes, medical practice benchmarks, medical practice management, payer contracting, physician fee schedule, practice dashboard, practice management, revenue cycle management, Webinar, write-offs

Posted in: A Career in Practice Management, Collections, Billing & Coding, Compliance, Day-to-Day Operations, Finance, Medical Coding Education, Medicare & Reimbursement

Accreditation Countdown: If You Are Billing Medicare the Technical Component for Advanced Diagnostic Imaging, You Better Get Started

Posted by Mary Pat Whaley on July 24, 2011

Image via Wikipedia

If you are a physician, non-physician practitioner or Independent Diagnostic Testing Facility (IDTF) who supplies imaging services and submits claims for the Technical Component (TC) of Advanced Diagnostic Imaging (ADI) procedures to Medicare contractors (carriers and A/B Medicare Administrative Contractors (MACs)), you should know that you must be accredited by Sunday, January 1, 2012. If your facility uses an accredited mobile facility, and you bill for the TC of ADI, you must also be accredited. The accreditation requirement is attached to the biller of the services.

Those not accredited by that deadline will not be able to bill Medicare until they become accredited.

For those planning on seeking accreditation to continue performing the technical component of ADI services, know that accreditation is dependent on the demonstration of quality standards, including (but not limited to):

Qualifications and responsibilities of medical directors and supervising physicians;

Qualifications of medical personnel who are not physicians;

Procedures to ensure that equipment used meets performance specifications;

Procedures to ensure the safety of beneficiaries;

Procedures to ensure the safety of person who furnish the imaging; and

Establishment and maintenance of a quality assurance and quality control program to ensure the reliability, clarity and accuracy of the technical quality of the image.

Additionally, the accreditation process may include:

(more…)

Tags: 855B, 855I, accreditation organization, ADI Medical Director, ADT, advanced diagnostic imaging, American College of Radiology, AO, CMS, CT, fluoroscopy, IDTF, Independent Diagnostic Testing Facility, Intersocietal Accreditation Commission, January 1 2012, MACs, Medicare Administrative Contractor, MIPPA, mobile imaging facility, MRI, Nuclear medicine, physician fee schedule, professional component, prospective payment system, Radiation Safety of Beneficiaries, TC, technical component, The Joint Commission

Posted in: Medicare & Reimbursement

Congress Expected to Further Delay SGR Cut to Medicare Physician Fee Schedule

Posted by Mary Pat Whaley on May 30, 2010

UPDATE: On June 24, 2010 the House and Senate passed legislation to further delay the Medicare cuts until November 30, 2010. More here.

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Congress has yet to pass a bill delaying the June 1, 2010 21.2% reduction in physician reimbursement, but most believe it will happen and be effective retroactively.

CMS has said it is anticipating a further delay in Medicare fee schedule cuts, so they have “instructed contractors to hold claims containing services paid under the MPFS for the first 10 business days of June.”