4 Ways to Improve Payer-Provider Relations in 2015 and Beyond

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4 ways to improve provider-payer relationships

 

The physician-patient relationship garners a lot of attention, particularly with the increasing focus on patient-centered care and satisfaction measures.

However, payer-provider relations can be just as important to your practice’s viability. Forming fruitful relationships with the companies that reimburse your claims can mean the difference between getting paid or not.

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Getting the Most from Modifier 59, 25 and 91: A Guide for Coders

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most misused modifiers

“If it isn’t coded, then it hasn’t been done.”

Correctly applying modifiers, though, isn’t always as easy as it seems. Many times providers inappropriately use modifiers, an action that inevitably can lead to claim denials.

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So You’re on the Cloud: Tips to Maximize Cloud-based Practice Management – Part 2

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transition-to-the-cloud-medical-practice

You’re moved to the cloud and you’re starting to see the potential for your practice. But how do you make the most of your new cloud-based EHR, practice management software and revenue cycle management services?

The cloud can help you engage patients and boost your claims tracking. Also – and many providers really like this one — most cloud systems allow 24/7 access to practice information from any device with a secure Internet connection. Go ahead, pinch yourself.

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So You’re on the Cloud: Tips to Maximize Cloud-Based Practice Management – Part 1

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Congratulations — you’re on the Cloud. You took the initiative and moved to modern technology. You’re ready to make the most of your new electronic health records and practice management and revenue cycle management (RCM) systems. But silently you may ask yourself, “Where do I start?”

Maximizing use of a cloud-based practice management system for your practice’s health IT can initially seem a bit complicated. But don’t worry. We here at PYP assembled a list of tips to help guide you. This week we share strategies on training, customization and speeding patient insurance eligibility checks.

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Procedure Coding: Important Changes to the 59 Modifier

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When to Use the 59 Modifier

[Important Update: In January 2015, CMS changed the -59 modifier to 4 more specific x codes. We updated this popular PYP post with more details below.]

Some billers do not really understand modifiers or when they need to use them. Add modifiers to CPT codes when they are required to more accurately describe a medical procedure or service.

A modifier should never be used just to get higher reimbursement or to get paid for a procedure that will otherwise be bundled with another code.

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What Family Physicians Need From Their Health IT Software in 2015

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family-physician-snapshot

Each medical specialty comes with a unique set of challenges, and family medicine is no exception. Family physicians can overcome many of these clinical, financial and operational challenges using effective software solutions.

In this update, PYP takes a look at the state of this specialty, and what family physicians should consider in their health IT decision-making.

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