Contents tagged with reiner
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Doctors report insurers are auditing billing procedures for services provided by NPs, PAs
Physicians should examine insurer contracts, provider policy and procedure manuals to ensure compliance
If you employ nurse practitioners or physician assistants, you should make sure you’re complying with each payer’s protocols when billing for services provided by nonphysicians. TAFP has recently heard from members who thought they were billing properly but have found themselves under investigation by payers. If these practices are found to be out of compliance, they may owe payers substantial refunds.
Many payers pay reduced fees for services provided by NPs and PAs but the rules and billing procedures doctors should follow when filing claims differ from payer to payer. For instance, Blue Cross Blue Shield of Texas pays 15 percent less for services provided by NPs or PAs than they would for services provided by the supervising physician. The insurer requires that practices include a “Modifier SA” when filing claims to indicate that a service was performed by an NP or a PA.
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Texas Family Physician - Vol. 66 No. 3, Summer 2015
Go to the TFP archive
View the virtual issue
President’s letter
Perspective
CONTENTS
Inside the coverage gapTexas is the only state left with at least 20 percent of its population … more
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Are you ready for ICD-10?
Are you ready for ICD-10?
By Bradley Reiner
TAFP partners with Bradley Reiner to provide family physician members with practice management assistance. > See more about Reiner
I thought … more
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Texas Family Physician - Vol. 66 No. 1, Winter 2015
Go to the TFP archive
View the virtual issue
President’s letter
Perspective
CONTENTS
Texas Family Physician of the Year 2014-15: Russell Thomas, Jr., DO, MPHThis year’s Physician … more
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2015 coding changes and beyond
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2015 coding changes and beyond
By Bradley Reiner
In case you have been wondering if coding and billing will get easier this year, I hate to break the bad news to you that it is only getting … more
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Electronic health records: Good, bad, or ugly?
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By Bradley Reiner
It’s not unusual for a doctor to pick up any trade journal and read about how electronic health records are the end all and be all in documenting services and … more
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Medicare compliance and preparation for RAC audits
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Medicare compliance and preparation for RAC audits
By Bradley Reiner
CMS has taken the next steps in Medicare’s comprehensive efforts to identify improper Medicare payments and … more
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Case study: Five questions for improving your practice
Case study: Five questions for improving your practice
By Bradley Reiner
As we start another new year, consider taking a good, long look at your practice. I know, your first thought is “my … more
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Practice management resources provided by Bradley Reiner
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Practice management resources from Bradley Reiner
TAFP partners with Bradley Reiner and his company, Reiner Consulting and Associates, to bring practice management resources to TAFP members. … more
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TAFP members: I’m here to help
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TAFP members: I’m here to help
By Bradley Reiner
Did you know?
Did you know the Texas Academy of Family Physicians has a practice management consultant representing you?
Did you … more