Billing and coding 101 for CNSs.
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With fee-for-service (FFS) reimbursement, anesthesiologists benefit financially from cases that take longer than expected. Capitation, or fixed anesthesia reimbursement (FAR), might result in financial losses for such inefficient cases. In this investigation, we used the Centers for Medicare and Medicaid Services' average anesthesia times as benchmarks for efficiency and examined case time characteristics for three surgical services: otorhinolaryngology, general surgery, and orthopedics. Our model demonstrated that some inefficient cases would be better billed FAR rather than FFS.
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Advanced practice nurses (APNs) are well prepared for patient care, but not for the financial aspects of clinical practice. A lack of reimbursement knowledge and skills limits the prospects for APNs to be key players in business and practice ventures. Faculty are challenged to strengthen the advanced practice reimbursement component of the financial management core to promote the reimbursement competency of APNs. The author discusses 4 primary content categories that are critical to financial success in clinical practice.
To make sure your ED has money to spend, you need an Ambulatory Payment Classifications process that's streamlined, error-free, and compliant with regulations. Here's how.
The American College of Obstetrician and Gynecologists (ACOG) recommends the first visit to the obstetrician-gynecologist take place between the ages of 13 and 15 years. This visits will provide health guidance, screening, and preventive health care services and provide an excellent opportunity for the obstetrician-gynecologist to start a physician-patient relationship. This visit generally does not include an internal pelvic examination.
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