Lisa Eramo, MA

It’s every physician’s worst nightmare: Receive payment for services rendered, but then a payer identifies an aberrant pattern in claims data, audits the records, decides it has overpaid the practice, and recoups those funds. That money you already allocated for overhead, staff salaries, bonuses, or new medical equipment? Gone. The good news is, physicians can take steps to focus on accurate billing and avoid costly recoupments. 

Two new CPT codes allow payment when physicians order, review, and interpret new INR test results-even when patients self-test at home

Tips and warnings from experts for E/M coding

What physicians can do to harness patient-collected data.

What physicians can do to collect the payment they deserve while also avoiding compliance risk.

New ways to get paid for interacting with patients

Manage patients with atrial fibrillation to boost payments under MIPS.

Physicians should consider these seven tips to make nursing home services more lucrative.

Improve outcomes, boost payment

CPT guidelines permit E/M code selection based on time when face-to-face counseling and/or coordination of care accounts for more than 50 percent of the encounter.

Accurate and complete documentation helps physicians avoid denials.

When appealing denials, keep these three tips in mind. 

Here are some do’s and don’ts when applying these three common modifiers.

Follow these three tips to avoid denials when reporting time-based E/M codes. 

Here are four common transitional care management denials and how to avoid them.

Here are four common CCM denials and how to avoid them.

To payers, these visits tell a completely different story about the work that’s required to treat a patient.

Commercial payers don’t automatically reward physicians for being loyal members of their networks.

It could be financially worthwhile to delve more deeply into patients’ cognitive problems.

Although there’s no cure for osteoarthritis, it’s certainly possible for primary care physicians to not only help their patients manage symptoms, but also improve reimbursement for doing so.

Prescribing a disease-modifying anti-rheumatic drug (DMARD) for patients with rheumatoid arthritis not only helps alleviate symptoms, but it may also help physicians trigger performance-based bonuses from certain commercial payers.

In the age of value-based care, helping patients manage this chronic condition becomes more important than ever

Tips for physicians to address high blood pressure, meet value-based care targets

The new guidance means that nearly 103 million Americans will now carry a diagnosis of high blood pressure following a visit to their physician.