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Doc to Doc Series: Improve Reimbursement by Standardizing Physician Documentation

Doc to Doc Series: Improve Reimbursement by Standardizing Physician Documentation

Avoiding Concurrencies in Anesthesia Billing: A Crucial Practice for Providers

Avoiding Concurrencies in Anesthesia Billing: A Crucial Practice for Providers

Compliance Series: Anesthesiology, Let’s Get Physical with Our Documentation

Compliance Series: Anesthesiology, Let’s Get Physical with Our Documentation

Doc to Doc Series: What’s in your pocket at the end of an ED shift?

Doc to Doc Series: What’s in your pocket at the end of an ED shift?

Change Healthcare Outage & QPP Exception Application Recommendations

Change Healthcare Outage & QPP Exception Application Recommendations

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Thought Leadership

Doc to Doc Series: Improve Reimbursement by Standardizing Physician Documentation
Let’s put the needle on top of the haystack. By Mark Laperouse, MD Strategic Advisor to Ventra Health in Emergency Medicine. If EMR documentation feels ... Read more
Avoiding Concurrencies in Anesthesia Billing: A Crucial Practice for Providers
In anesthesia billing, the term “concurrency” refers to the number of cases an anesthesia provider is involved in at the same time. Understanding and managing ... Read more
Compliance Series: Anesthesiology, Let’s Get Physical with Our Documentation
By: Cindy Triplett, CPC, CANPC, CPMASenior Director, Anesthesia Education When you administer anesthesia to a patient with a BMI over 40 or evaluate a patient ... Read more
Doc to Doc Series: What’s in your pocket at the end of an ED shift?
The New Rules of Engagement for ED Reimbursement By Mark Laperouse, MD Strategic Advisor to Ventra Health in Emergency Medicine. With Medicare rates now effectively ... Read more
Change Healthcare Outage & QPP Exception Application Recommendations
The MIPS Extreme and Uncontrollable Circumstances (EUC) Exception application is open through the end of the year. Groups/clinicians who don’t usually report MIPS or have no ... Read more
Challenges Faced by Anesthesia Providers with HCSC and Aetna Discontinuing Reimbursement for Physical Status Modifiers
In a recent development, Blue Cross Blue Shield (BCBS) in Texas, Oklahoma, Illinois, and New Mexico (Health Care Service Corporation, HCSC) and Aetna have announced ... Read more
Compliance Series: How to Properly Amend a Medical Record
By: Cindy Triplett, CPC, CANPC, CPMASenior Director, Anesthesia Education Have you ever finalized a medical record and realized you forgot pertinent information? Maybe you neglected ... Read more
Compliance Series: Pearls and Perils of EHR Copy & Paste for Hospital Medicine
By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services One of the benefits of an Electronic Health Record (EHR) for Hospital Medicine is the ... Read more
Compliance Series: Guide to MIPS Excellence in 2024 for Emergency Medicine Clinicians
By: Asya Handel, Director of Client Success In 2024, Emergency Medicine clinicians are determined to not only meet the clinical performance goals but also maximize ... Read more
Compliance Series: What Does Anesthesia Need to Know About MIPS in 2024?
By Lance MuellerDirector of Healthcare Quality Participating in the MIPS program in 2024 requires groups and clinicians to consider their Return On Investment (ROI) carefully. ... Read more
Compliance Series: Navigating Post-Operative Pain Management Billing
By: Cindy Triplett, CPC, CANPC, CPMA, Senior Director, Anesthesia Education Linda Duckworth, CHC, CPC, Director, Provider Education & Advisory Services Ventra Health continues to field ... Read more
Compliance Series: Split/Shared Guidelines ‒ Applauding AMA and CMS in 2024
By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services For the first time ever, CPT guidelines officially addressed the split/shared concept for patient care, “physician(s) ... Read more
Compliance Series: The Untold Challenges of E/M Risk Determinations
By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services The 2023 historic E/M guideline changes created uncertainty on a wide variety of decision-making topics ... Read more
Breakdown: Feds Respond to NSA IDR Criticism
By Jason Greenberg, MD In response to the feedback and challenges expressed by several professional medical organizations, the Federal Administration, through the Departments of HHS, Labor ... Read more
OIG Announces Alarming Results for Providers Billing Advance Care Planning
In November 2022, the Office of the Inspector General (OIG) released alarming results from their audit of Advance Care Planning (ACP) codes 99497 and 99498.  ... Read more
4 Benefits of Outsourced Revenue Cycle Management
Revenue cycle management (RCM) encompasses the processes that a healthcare provider uses to track the reimbursement for patient care provided from the scheduling of a ... Read more