Author Archive

HIEs – Start with the end result in mind

Health Information Exchanges or HIE is a major topic in healthcare discussions across the country.  As we move to greater use of computers to collect information on patients and treatment protocols, HIEs are the next step to utilizing that data to derive better outcomes.  For as long as I can remember, hospitals have gone to

Get the most out of your Coding Audit

Whenever the word audit is used it usually causes some anxiety.  This is especially true with some physicians who feel keeping up with the latest coding changes and still trying to manage a busy patient schedule can be an impossible task.  At MTBC, our coders have to continually educate to stay abreast of new coding

Deadlines Healthcare Providers Must Know About! – Part Two

Employee Health Insurance: In 2013, healthcare providers must decide whether to provide employee health insurance.  If you have 50 or more employees (eps), you must have an employee health insurance scheme? plan?, or pay a $2,000 fee for each employee above 30. (So 50 eps – 30 eps = 20 eps X $2000 = $40,000)

Deadlines Healthcare Providers Must Know About! – Part One

E-prescription: February 28, 2013, is the last day to submit claims to reap the 1% bonus payment for Medicare patients that were successfully e-prescribed to in 2012. Meaningful Use: February 28, 2013 is the last day to complete attestation for payment year 2012. Keep in mind that 2013 and 2014 are the remaining years for

Healthcare Salad Dressing

 In our world there are certain times when completely opposite things are forced to work together in order to provide a necessary, and usually beneficial, outcome.  An example of this is a simple salad dressing: oil and vinegar.  No matter how often one may shake a container holding both oil and vinegar, eventually, the two

If you are a Specialist it’s all about the New Patients

As we begin the New Year it is important to pay attention to your practice metrics, especially if you are a specialist. With a specialty practice it is all about the new patient visits.  As you monitor monthly activity the new patient visits drive your practice volume.  With many specialty groups, high dollar diagnostics and

Increasing Your Practice Revenue in 2013

It goes without saying that practices, in the very least, should review their finances at the conclusion of the year.  In addition to simply reviewing the final financial numbers, practices should really take the time to go deeper and analyze the results.  Did you receive an increase or decrease in payments?  Was it because you

Medicare Continues Focus on Technology and Increased Patient Care

While the US healthcare industry awaits action from Congress, a look at the 2013 Medicare Fee Schedule reinforces Medicare’s movement towards more efficient patient care.  Review our recent blog posts; the vast majority of them are about Electronic Medical Records, Meaningful Use, and ACOs.  The same policy resonates throughout: efficient and increased patient care.  EMRs

CMS Fee Schedule Changes for Cardiology Procedure

As we approach 2013 CMS has announced major changes to many highly used CPT codes relating to cardiology procedure.  These code changes cover coronary interventions and electrophysiology.  Physicians and coders need to be aware of these changes prior to the new year. In the past when performing a coronary intervention a physician could only bill

Odds and Ends: 2013 Medicare Physician Fee Schedule

The final 2013 Medicare physician fee schedule rule has been released on November 1st, 2012. This policy and payment update sets the Medicare therapy cap amount for outpatient therapy services and payment. According to the American Physical Therapy Association (APTA), this fee schedule established the 2013 therapy cap exception at $1,900 but this exception will only