Make an effort to satisfy all of your patients and protect the livelihood of your practice. By Stephen C. Spain, MD, FAAFP, CPC As consumers, we have all experienced service that fell short of our expectations. Healthcare is also a service, and providers are not immunized against the occasional displeased patient. A provider’s reputation can ...
Jan 1st, 2013
By Stephen C. Spain, MD, FAAFP, CPC and Angela “Annie” Boynton, BS, CPC, CPC-P, CPC-I, CPC-H, RHIT, CCS, CCS-P Part 3: Securing the right care at the right time depends on whether ACOs can incorporate EBM into everyday practice. Editor’s note: This is the final installment in a three-part series on health care quality, value, ...
Dec 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Part 2: As health care moves away from fee-for-service, quality care comes to the forefront. Evidence-based medicine (EBM) and the Physician Quality Reporting System (PQRS) have brought the concept of pay for performance (P4P) to health ...
Nov 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Editor’s note: Health care reform brings a number of new concepts to coding, billing, compliance, and practice management. The most far reaching—especially from an organizational point of view—are accountable care organizations (ACOs). Below is the first ...
Apr 1st, 2011
Understand the requirements for appropriate reimbursement. By Stephen C. Spain, MD, FAAFP, CPC As required by the Patient Protection and Affordable Care Act (PPACA), the Centers for Medicare & Medicaid Services (CMS) recently amended the Code of Federal Regulations (CFR) to include an annual wellness visit (AWV) for Medicare beneficiaries. The revenue for this service ...