PMN Archives - Coding and Payment
A New Year and New Billing Opportunities - January 2012
A new year means new billing codes, new Medicare regulations and guidelines and new revenue opportunities for medical practices.
Preparing for ICD-10; Step 1: ANSI 5010 – Will You Be Ready? - July 2011
The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is the largest health care compliance-driven convergence and coordination of people, information, technology and education in more than 20 years.
New Year, New Codes and New Revenue Opportunities - January 2011
Every year brings new changes from Medicare and new coding and revenue opportunities for family physicians. To make the most of these opportunities, this article offers advice on how your practice can implement coding changes quickly and effectively.
Document Your Level IV Visits With Confidence - July 2010
Family physicians may have concerns about the documentation of Level IV visits.
Five Services Every Family Physician Should Be Billing - April 2010
Whether you're a new or well-established family physician, you want to do the best job possible in coding, billing and collecting activities.
Looking for Lost Revenue by Working More Efficiently - July 2009
As payers get stingier and payment rules get more complex, you need to use the latest tools and tactics to avoid losing ground in the struggle to get what you're owed.
New Year, New Codes, New Billing Opportunities - January 2009
The new year brings updated CPT codes as well as additional billing opportunities for family physicians.
Answers to Frequently Asked Coding Questions - August 2008
Q: We recently saw a patient for a medical exam requested by the Department of Motor Vehicles (DMV). The patient had Medicare and when we billed the exam, we used a diagnosis code of V70.0 (General Medical Exam).
Good News for the Virtual Office Visit: Health Plans are Beginning to Pay! - May 2008
Web-based doctor visits are increasing in popularity, and patients and providers alike express appreciation for the convenience of this type of encounter.
2008 Coding and Billing Updates and Changes - February 2008
While the CPT changes for 2008 may appear subtle at first glance, they do offer opportunities for coding some services that most family physicians provide, but may not have billed for in the past.
Not Billing for These Can Cost Your Practice - November 2007
Many family physicians fail to collect thousands of dollars each year for services they provide their patients but for which they fail to bill.
Coding and Billing: Answers to Your FAQs - March 2007
Q: My practice continues to struggle with payments for both an office visit service and a procedure done on the same day, even when we use the modifier -25.
2007 Coding and Billing Updates and Changes - January 2007
Each January brings changes to every physician office - there are always new and deleted billing codes (CPT and HCPCS II), new deductible amounts to be collected from patients, new and revised billing requirements from health insurance plans, and sometimes new payment amounts from third party payers.
How to Ask For and Get Improved Payment from Plans - November 2006
In the summer edition of California Family Physician, CAFP provided a payer grid of the prevailing payment rates for many services related to the care of patients with diabetes.
The Challenge of Coding and Billing Group Visits - March 2006
More and more physicians are becoming interested in providing group visits for their patients.
Strategies for Improving A/R Management - January 2006
Accounts receivable (or revenue) management is multifaceted, and, as with every area of practice performance, the greater the commitment, the better the results.
Responding to a Payer's Request for Documentation - April 2005
Information about the CMS Recovery Audit Contract (RAC) Initiative.




