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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

Medical Decision Making and Coding

Melesia Tillman, CPC, CCP  |  

In my years of coding for rheumatology, I am often asked this type of question: “I have a patient who recently came in for a visit. She had two or three diagnoses, was placed on three or four different medications, and we ran one or two labs on her. Does this qualify for a level-four visit?”

Let the ACR Help You Improve Your Practice

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Today’s rheumatology practices face increasing internal and external pressures. Staffing effectiveness and efficiency, overhead increases, coding and billing issues, litigious employees, conflicts with colleagues, new competition, changing patient attitudes, new revenue constraints, and managed care contracting and compliance are just some of the pressures that constantly push practices to their limits.

Rheum to Learn

Terry Hartnett  |  

The ARHP’s new NP/PA rheumatology training program will provide a boost to the workforce

Incorrect Reimbursements—Is This Your Practice?

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Imagine you have received a remittance for patient John Doe for charge 99214 in the amount of $69.89. Your billing staff reconciles the money and updates the account. Would you consider this a successful reimbursement? If so, it may surprise you to know you have just been underpaid by $20 because the correct fee schedule was $89.89.