Dec 1st, 2012
By Marcia Brauchler, MPH, CPC, CPC-H, CPC-I, CPHQ The new year is nearly here. Time to get a fresh start on your payer contracts. Gather your year-end data and prepare yourself to approach payers for new agreements or rate updates. Start with a High-level Perspective After you’ve gathered the contracts and information from payer websites ...
A focused effort on negotiating payer contracts can create much-needed money for any practice, and coders are uniquely qualified to facilitate these negotiations. This month, I’ll provide an overview of the contract negotiation process. In future months, we’ll discuss each step in greater detail to help you level the playing field with insurance companies. Ask ...
Jul 1st, 2011
Replace bad coding habits with good ones to get the best possible reimbursement. By Jacqueline Nash-Bloink, MBA, CPC-I, CPC, CMRS Hierarchical Condition Category (HCC) coding is a method of determining reimbursement based on the patient’s diagnosis. Generally, the more severe the diagnosis, the higher the reimbursement. HCC coding differs from CPT®-based evaluation and management (E/M) ...