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Net Collection Ratio

The net collection ratio is calculated this way: Cash collections divided by net charges.  Net charges are the difference between gross charges and required government and third party adjustments. Use gross charges, insurance adjustments and cash collections for the same time period. Example:  Gross charges = $3,740,318;  Cash collections = $2,070,275;  Insurance Adjustments = 1,588,554 Net Collections = Gross charges-Adjustments  3,740,318-1,588,544=2,151,764. ...

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What Does It Mean To Scrub An Insurance Claim?

  During the rigorous training physicians undergo to learn their craft, very little education is received on how to deal with submitting claims to insurance companies.  It’s unfortunately a necessary evil, as surgeons who contract with insurance companies rely on that reimbursement as the lifeblood for practice survival.   Receiving payment from insurance payers involves submitting claims after providing treatment.  Whether it’s in an office setting, emergency ...

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Subsequent nursing home visits

Subsequent nursing facility visits are reported with codes 99307--99310.  These codes are defined as per day codes, and do not have new and established patient divisions.  There are also initial nursing facility codes, which only a physician may use.  A physician or NPP may use the subsequent facility codes, either before or after the initial service (the admission) is performed.  It is often the case that an NPP sees the patient before the physician, in order to write ...

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ICD-10 Session 1 - Make Ready Before Hand
Nancy Maguire
Advanced Care Planning 99497, 99498
Codapedia Editor
ICD-10 Session 2 - How is ICD-10 Organized?
Nancy Maguire
Using time for E/M services
Betsy Nicoletti
ICD-10 Session 3 - Symbols, Conventions and The Ground Rules
Nancy Maguire

Field Guide to Physician Coding 3rd

Flex Sig/Hemorrhoid Ligation
by Hgpc1007
Wed, Oct/26/2016 03:03PM
Shave Removals
by athib05
Wed, Oct/26/2016 12:14PM
IVIg 90283
by rchines
Tue, Oct/25/2016 01:28PM
Meniscal repair bundled with menisectomy?
by sportystar101
Mon, Oct/24/2016 06:23PM
No mass excised
by jgoar
Mon, Oct/24/2016 03:06PM

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