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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

Practice Support

Subcategories:Billing/CodingEMRsFacilityInsuranceQuality Assurance/ImprovementTechnologyWorkforce

The Dos and Don’ts of E/M Coding

By Melesia Tillman, CPC, CRHC, CHA  |  

Coding medical procedures and diagnoses can be a daunting task if you are not educated in this field. I am going to break down the rules for evaluation and management (E/M) coding, so take a deep breath and let’s jump in!

The REF: A Facilitator of Mentoring

By E. William St.Clair, MD  |  

The ACR Research and Education Foundation (REF) has made a substantial commitment to supporting career development through its many grant programs, such as the preceptorships for medical and graduate students and residents, the Rheumatology Scientist Development Award, the Rheumatology Investigator Award, and the Career Development Bridge Funding Award, provided in collaboration with the Arthritis Foundation.

2011 CMS e-Prescribing Program: Will You Get Hit with Penalties?

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The Medicare Improvements for Patients and Providers Act of 2008 provides for e-prescribing financial incentives in 2011 and financial penalties in 2012 and 2013. When you successfully e-prescribe and report on 25 patient encounters, you will be eligible to receive a 1% incentive of the total estimated allowed charges for professional services covered by Medicare Part B rendered in 2011. The big news, however, is the payment reductions for those who do not successfully meet e-prescribing reporting requirements that will be applied—1% in 2012 and 1.5% in 2013.

Letters to the Editor

John P. Lavery, MD  |  

Praise for a Different Perspective on Foreign Medical Graduates

What Makes a “Best Doctor” Best?

Christina Picciano  |  

Rankings’ publishers tout their approaches, but many rheumatologists are blasé about making the list

Rheumatologist=Pain Doctor?

David G. Borenstein, MD  |  

Managing pain is an important part of rheumatologic care—and a focus for the ACR

RHEUMATOLOGY PRACTICE PEARLS: Is Your Practice Ready for 5010?

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If your practice electronically submits administrative transactions to verify patient insurance eligibility, file claims, or send or receive remittance either directly to insurance companies or through a clearinghouse, the transaction version for that system will have to be updated by January 1, 2012. The current version 4010 is outdated and cannot accommodate the necessary business transactions for physician practices and healthcare facilities.

PRACTICE PAGE: The ACR Takes on Insurance Companies

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In response to the increasing demands of medical necessity and denials for approved drugs, the ACR is taking a large step towards protecting the rights of members when dealing with insurance companies.