Physician Practice Specialists

Can a Doctor bill under another Doctor? (Incident-To)

Andrew — Tue, 01 May 2012 15:17:50 +0000

Wow, this question must come up at least 3 times a week in conversations about expediting the credentialing/enrollment process.

Here is an artcle that we wrote covering this topic. It is possible, depending on your relationship with a commercial insurer, to obtain authorization from them to bill under a supervising physician. This is rare but [...]

The Benefits of Outsourcing for Hospital Credentialing

Andrew — Tue, 01 May 2012 14:05:40 +0000

Hospital credentialing standards are the tightest and most detailed of medical provider credentialing standards. Credentialing verification organizations can remove the burden of meeting those standards for hospitals through dedicated resources, experience, and support services.

How Your Practice Can Prepare for Medicare RAC Auditors

Andrew — Tue, 01 May 2012 14:02:33 +0000

There are only three scenarios in which a Medicare Recovery Audit Contractor can utilize an automated review to determine if a claim paid to your practice was an overpayment. If you know what these three scenarios are, your practice can better predict the likelihood of Medicare RAC auditors sending a demand letter to your mailbox. You can perform a pre-audit within your practice to identify any areas of risk based on the three scenarios the RAC look at when using an automated review.

Essential Elements to Correctly Billing with Q6 & Q5 Modifier

bzukelloc — Mon, 02 Apr 2012 15:23:38 +0000

This is something that many practices have inquired about or been concerned about so we will lay out a few critical details to help you understand how, why, and when you can bill for a locum.

1. Is your event an acceptable case for a locum tenen?

This is the first and most critical question [...]

Guidelines when outsourcing your billing office

Andrew — Mon, 30 Jan 2012 03:09:24 +0000

Many of our clients outsource their billing office to a third party but not all of our clients have had a good experience with this. Unfortunately, many companies cut corners and hire workers (or don’t hire enough workers) who are uneducated in your specialty and ill equipped to handle the demands of your office. If [...]

DMEPOS Application Essentials

Andrew — Tue, 24 Jan 2012 16:18:42 +0000

Here are a few key things to remember when submitting an application to enroll your business in the DMEPOS (Durable Medical Equipment and Prosthetics/ Orthotics). The applications required for enrolling a business or new location are 855s, CMS588

Remember that you need to send a complete application in for each new service location regardless if [...]

Employee Salary vs. Exempt

Andrew — Mon, 12 Dec 2011 16:25:06 +0000

Here is an excellent article provided to through our partnership with the payroll service we use (ADP). You do not want to make a decision that will wind up with you in a lawsuit requiring you to pay penalties and overtime due to an employee. This is something to consider when setting up your new [...]

Conversion Factor Fee Calculator Now Available

Andrew — Fri, 07 Oct 2011 15:41:35 +0000

Ever read an insurance contract and wish you had an easy way to understand exactly what you are getting paid and how it compares to Medicare. This tool will quickly tell you what the fee is you can expect along with how it compares to Medicare reimbursements for your area. The tool has detailed instructions [...]

PPS Racing

Andrew — Fri, 02 Sep 2011 18:30:33 +0000

PPS and Mr. Eriksen is not afraid of taking risks which is evident by the fact that PPS was started in 2008 while most businesses were shutting doors and laying workers off. PPS has been very successful over the past few years and is launching a new marketing campaign in the form of Porsche Road [...]

PPS CEO Meets Clark Howard

Andrew — Fri, 02 Sep 2011 18:19:29 +0000

I had an interesting opportunity a couple weeks ago to speak with the purveyor of consumer advocacy, Clark Howard. Myself and a friend/client of PPS (Dr. Ali Kasraeian MD http://kasraeianurology.com) met with Clark to discuss our idea of creating a radio program that will help patients take ownership of their health while sharing insight into [...]