Hot Topics from the KMC University Helpdesk | July 28, 2021
Many people have service animals, while some have hand guns. While we worry about the safety and our concern for all of our patient and staff, what do you do when someone wants to bring something extra along?
One area repeatedly missing in the documentation of a treatment plan is established short-term and long-term goals. Did you know that you are much more likely to reach your goals if you write them down? There are tools available to help you establish these essential pieces of initial visit documentation.
Staying clean is imperative to good health just as clean notes are imperative to proper documentation. Properly using the right kind of SOAP on every visit can ensure the integrity of your notes. Know "What" you are doing and "Why" you are doing it. Keep it clean.
Five thousand doctors in Illinois have received a letter from the Special Investigations Unit regarding outlier coding and billing.
Ever hear this, “It just started hurting Doc, nothing happened!”? Something happened, and to properly document medical necessity and bill a third-party payer, there must be a mechanism or injury.
While magic disappearing acts are fascinating to watch and often leave you intrigued, the disappearing patient not only leaves you wondering what happened but at risk when you don't stick a pin in it. What is "it"? The episode of care. Don't have a dangling participle. Instead, bring the patient's last visit closer to the end of the episode of care and put a pin in it.
According to MultiState Information Sharing & Analysis Center (MS-ISAC) an advisory was released in late May and again on June 14th for iOS users about an exploit that may have already impacted devices
Did you realize there are rules regarding how long you have to document for a visit? Not only are there time limits, but you also cannot bill for services not written. Timely documentation = timely payment. If you are feeling overwhelmed, let us help.
Prepayments are always a financial benefit if permitted in your state, and the clinic follows the rules. As a result, patients seem to adhere better to the treatment plan. The uncomfortable discussion of money is out of the way...
We go to the restaurant and tip the waiter/waitress. We go to the spa and tip the hair dresser. We have food delivered to our house and we tip the driver. But can the massage therapist in your office accept a tip? Let's see what Kathy has to say on the subject.
The payer's definition of medical necessity is the key element in compliant third-party billing. Consider it the rule-book that is provided for the practice to follow to know when to expect payment from the payer vs. the patient. Understanding Medicare's medical necessity definition is critical because so many other payers use that one as a basis.
Documenting time in the patient note is always needed. But, when is it only for proper documentation standards? Or when is it used to determine the units provided? Not all services that take time in your office are billed per unit.
With the new AMA Coding Rules, making a poor first impression can negatively impact reimbursement. It may not be about impressing your audience, but it is about compliantly documenting for your audience.
We have all heard the term "location, location, location". In the medical record, the term we must learn to do properly is documentation, documentation, documentation. When relative to the patient encounter, location and documentation go hand in hand.
When it comes to documentation and choosing the appropriate diagnosis code(s), it really does matter which one comes first. Make sure you build the proper foundation for a strong note by knowing where all the pieces fit together seamlessly.
Many practices find timed coding rules to be so confusing. There therapy codes that are supervised and those that are constant attendance. It is necessary to learn the differences between the two types in order to bill appropriately for the services being performed. It really is all about timing.
Every office encounters patients that need care, but can't afford to pay for the visits. You want to do something, but do you know the right thing to do? Knowing the proper way to handle these situations and what the rules are around offering Hardship to patients.
Ever feel like the rules keep changing and you didn't know about it until it was too late and you lost the game? Do you even know the rules to the game? Let's discuss the importance of staying on top of payer policy changes and how the payer strives to educate through publications and training. You can't afford to not listen in.
3rd Party Billing and Collections
There is a simple question you should be asking yourself when thinking about billing for family members. Let's take a dive and learn who the players are and whose rules we should be playing by in order to protect the practice.