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Primary Care Coding Alert

Check Out This Formula for a Winning Sports Physicals' Plan

Published on Thu Oct 07, 2010

These useful strategies assure revenue despite scant insurer coverage. Very soon, a rush of young kids will be looking to their family physicians for medical clearance to participate in sports. Commonly referred to as sports physicals, they present unique problems to coders, especially concerning their coverage by insurers. To avoid loss of revenue and to maximize the earning potential of your practice, here are some surefire tips on coding for sports physicals. When Unsure of Coverage, Ask for Cash To ensure revenue for your practice, you can ask patients, especially those with insurance that you know does not cover it, to pay cash for the sports physicals. "My suggestion is that these are treated as ‘self-pay' services and offices should collect up front," says Christy Neff, RMC, physicians billing specialist for Witham Health Services in Lebanon, Ind. "If the patient/parent insists that insurance will cover the exam, we can file [...]
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