Healthcare Crossroads
Fine Tune your Specialty
In Episode 5 of the Healthcare Crossroads podcast, I am joined by a special guest, John Piaskowski CIRCC CPMA CPC CCC CCVTC CGSC and we are breaking down Orthopedics and Cardiology. There are many challenges to coding these specialties with Anatomy, Compliance, and Coding. We must always use caution in how we interpret guidelines and code descriptions.
Objectives:
- Anatomy Differences
- ICD10-CM Conventions and Basics
- Reading an Operative Note
- Using NCCI by specialty
Resources:
Abstracting the Basis of Coding
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Physician and Coder: The Dynamic Duo
In this episode, we sit down with my friend and fellow podcaster Terry Fletcher and discuss the relationship between Physicians and coders. This is a significant relationship that helps utilize both the clinical and business sides of medicine. This partnership ensures compliance, and accurate revenue and allows the physician to focus on patient care while enabling the coder to make sure the revenue is solid. When physicians keep their hard-earned income, the practice can flourish and patients can continue to receive services. Terry and I will discuss:
- Expectations of Physicians and Coders
- Eliminating communication gaps with the assistance of Practice Management
- Having difficult conversations with physicians
- How consultants have become effective educators
Increase your revenue and decrease denials with an effective denial management program that consists of Data Reviews, Audits, and Education with Oncospark! Contact jmcnamara@oncospark.com for more information.
Check out more episodes from our special guest Terry Fletcher at the CodeCast Podcast on Apple, Spotify, Google, and many more platforms
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Decreasing the Prior Authorization Burdens
Are you feeling burdened down with the Prior Authorization processes? You are not alone.
In this episode we will chat with Manish Jain, Co-Founder and VP, Business Development of Oncosparkand get his insights. We will answer:
- Why do insurance companies require authorization?
- Are internal process issues delaying treatment?
- Tips for organization, demographic errors, treatment changes and miscommunication in scheduling vs approval
- Can you truly automate the authorization process?
We will look at different kinds of authorizations such as:
Medication
Infusion
Surgery
Diagnostic testing
Check out www.authparency.comto augment your process.
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Behind the Curtain with an Auditor
Join me and special guest Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI as we look “Behind the curtain with an Auditor”
- What is behind more audits in 2022?
- What does a lack of Audits say about your organization?
- Is Compliance your priority?
- What does an Auditor do?
- Why are Auditors vital in Healthcare?
Schedule your next audit by emailing jmcnamara@oncospark.com
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MPFS Indicators
Check out me with my friend Pam Vanderbilt as we talk about Medicare and Modifiers.
We will discuss the MPFS Indicators and why all in the Revenue Cycle need to know how Medicare processes claims, because Guess What?
“Coding can change based on these Indicators”
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Communication Barriers in the Business of Healthcare
Join me and my special guest Leslie Boles, BA, CCS, CPC, CPMA, CHC, CPC-I, CRC as we discuss the shift that needs to happen in the Business of Healthcare. As the Co-Owner & President at Revu Healthcare Leslie and her team offer comprehensive regulatory compliance solutions to healthcare providers, hospitals, health systems, physician groups, and other healthcare entities.
In the past 10-15 years there has been a progression of gaps in communication between physicians and coders. Has technology played a role? What happened to good old-fashioned educated conversations? Do your coders and billers have access to the Physicians and Clinicians in your practice? We will also look at what Physicians are facing and how we can help them succeed.
- Burdens physicians face in patient care
- What can we do to be their advocate?
- Compliance issues we have seen in the documentation before and during PHE
- How administrators can bridge the gap between coders and billers and encourage open communication
- Do you know your EMR?
Technology tools enhance a successful practice and do not do all the work
Check out Code Interceptor Video and visit Oncospark to see all their technology solutions that may be the solution for your practice or facility.
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