Author

Elizabeth
Elizabeth works on an array of projects at TCI, researching and writing about modern reimbursement challenges. Since joining TCI in 2017, she has also covered the nuts and bolts of cybersecurity, compliance with federal laws, and how to tap into the advantages of telehealth services.

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    The demand for physicians available for hospital call coverage is rising, but such arrangements must be structured carefully to avoid running afoul of the Stark Law and AKS. Since every arrangement is different and unique to the circumstances of specialty, geography, demand, and other various concerns,   Read more..
    Posted on 11 Sep, 2017
    By Elizabeth
    Compliant On-Call Coverage Arrangements
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    Documentation helps to inform and support providers by supplying information to highlight trends, providing insight into disease processes, and uniting physician teams and payers through the flow of data. Clinical records provide uniformity and continuity across visits, hospitals, physicians, and payer providers. Bottom Line: Documentation is the   Read more..
    Posted on 8 Sep, 2017
    By Elizabeth
    Clinical Documentation: Why is it so Important?
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    Is your ASC’s business office set up for optimal profitability and compliance? Chances are that it’s not, says Cristina Bentin, CPPM, CPCO, CCS-P, CMA, President of Coding Compliance Management in Baton Rouge, LA. As a consultant, Bentin helps ASC managers spot and correct problems. She highlighted   Read more..
    Posted on 1 Sep, 2017
    By Elizabeth
    Spot and Stop These 7 ASC Business Office Pitfalls
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    Lack of firewall in secondary systems shows why risk analysis is crucial in healthcare settings.
    Large organizations look at the big picture, forgetting oftentimes that it’s a small chink-in-the-armor that renders a downfall. Such is the case involving the University of Massachusetts at Amherst (UMass), who despite the best intentions, fell victim to a HIPAA disaster after a malware issue   Read more..
    Posted on 24 Aug, 2017
    By Elizabeth
    Malware Issue Highlights Need for HIPAA Security Plan
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    Make no mistake—there is a lot of uncertainty swirling around healthcare. But one thing you can count on is a transition from “fee-for-service” reimbursement to value-based reimbursement. Federal and private payers are no longer content to reimburse providers simply for the number of procedures they perform.   Read more..
    Posted on 22 Aug, 2017
    By Elizabeth
    Welcome to the Patient-Centered Care Revolution
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    The best traditional marketing for your healthcare practice is virtually free. Referrals, nonetheless, are invaluable. Referrals help to attract new patients, boost your bottom line, increase brand awareness, and allow your practice to grow and thrive. So when you create a network of happy patients by   Read more..
    Posted on 22 Aug, 2017
    By Elizabeth
    Create an In-Person Referral Network to Boost Your Business
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    When faced with an angry patient, remember the 5/20 rule.
    Patients who visit healthcare organizations often bring along family members or friends and are usually experiencing a degree of emotional and physical stress. This stress can sometimes affect their reactions to a situation. When service failures and complaints occur, you need to have tools in   Read more..
    Posted on 17 Aug, 2017
    By Elizabeth
    Angry Patients, Service Foibles, and the 5/20 Rule
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    KNOW THE BASICS
    You append modifier 22 (Increased procedural services) to a CPT® code to indicate that a surgical procedure requires physician work substantially greater than that usually required to perform the service. There is unfortunately no one standard definition of what “substantially greater” effort means. You should   Read more..
    Posted on 15 Aug, 2017
    By Elizabeth
    Don’t Labor Over Modifier 22 – Increased Procedural Services
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    Follow 7 expert-recommended steps to evaluate, document, and report breaches.
    With the increase in data breach incidents—as well as the rise in HIPAA breach penalties—it’s more important than ever before for covered entities (CEs) and business associates (BAs) to develop a thorough incident response plan. Here’s what you need to do right now to protect   Read more..
    Posted on 10 Aug, 2017
    By Elizabeth
    Plot Out Your Organization’s Security Incident Response Plan
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    As a result of the 2017 Physician fee Schedule if you bill for moderated sedation, this year just got easier for more than 400 procedures. Last year you have noticed there’s something missing in your CPT manual about moderate sedation are now gone. From Old codes   Read more..
    Posted on 8 Aug, 2017
    By Elizabeth
    Moderate Sedation Codes in 2017 without anxiety or pain