There is much made of implementing the "medical model" into your practice. The medical model is more than just billing for as much as you possibly can. Medicare and other government agencies recovered more than $24 million dollars from providers in 2010 - from just 7 cities! More funds are being allocated to audits, seemingly, every day.
Compliance training is the first step to enhancing your procedures efficiency. Once that is in place, we move to optimize your reimbursements and ensure that the proper protocols are in place for patient and disease/symptom management. A vast majority of clinics are leaving $2,500 to $3,000 or more, per month, on the table just by the code selection made, management of vision plans and or disease protocols.
Comprehensive Clinic AssessmentA review of your current Medicare based compliance and profitability within your procedure and optical services. The comprehensive review outlines a path to enhance compliance and calculates projections showing increased net profit if your practice is brought up to industry standards for medical models and optical enchmarks.
Chart Reviews and Evaluation and Management Guidance (E/M Office Visits)
A vast majority of charts (paper and EMR) fail to meet current Medicare guidelines. We perform CMS based chart audits on your exam, E/M and diagnostic testing (ordering, interpretation and report, qualitative results) and code selection. E/M training on medical decision making with coding based on medical necessity as required by your provider contracts.
Standard of Care Follow Up Protocol - Diagnostics
AOA guidelines for diagnostics testing and follow up schedules for diabetes, glaucoma and age related macular degeneration. Protect your practice from Medical Legal Exposure and capture reimbursements.
Screening programs
Tips on how to successfully integrate a retinal and/or visual field screening program into your practice. Experience a 50% capture rate without “selling the patient”.
EHR – Stimulus Funding and PQRS Reporting
Meet registration and attestation dates and simplify the process of e-prescribe, PQRS and meaningful use specific to optometry to go after your share of the stimulus incentive payments.
Coding 101
Let’s do it right the first time; why am I not getting paid; how do I find the answers – are all powerful tools to help your billing, claim submittal and claims resolution whether you are a beginner or savvy veteran.
History Taking
How to correctly obtain chief complaint and history of present illness. This course is delivered in an interactive and conversational approach.
ABN Usage
Ensure you are meeting the changing documentation guidelines for Medicare.