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

Practice Support

Subcategories:EMRsFacilityInsuranceQuality Assurance/ImprovementTechnology

How Medically Unlikely Edits Affect a Practice

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Medically unlikely edits (MUEs), formally known as medically unbelievable edits, took effect with the Centers for Medicare & Medicaid Services (CMS) on January 2, 2007. The function of MUEs is to detect and deny unlikely CMS claims on a pre-payment basis with the intention of improving Medicare’s payment process.

Mind Your Accounts Receivable

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Over time, one would expect financial management of a medical practice to become more streamlined and simple. With the abundance of electronic tools, software programs, and the Internet, you can find assistance and problem-solving strategies for economic efficiency. In the rush to take advantage of these support tools, basic facets of financial management, such as billing and collection, have fallen by the wayside.

2008 Keystone Pediatric Rheumatology Symposium

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In 1976, a group of rheumatologists convened in Park City, Utah, to discuss the rheumatic diseases of childhood. In many ways, this was the beginning of the pediatric rheumatology subspecialty in the United States.

Missed Appointments Equal Missed Revenue

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What do you do when a patient misses an appointment? While an opening in the schedule might seem like a good time for staff to take a break or catch up on their to-do lists, missed appointments are a growing problem in physician practices. With today’s need to maximize every dollar, practices should take a closer look at the effect these missed appointments have on their bottom lines.

Perils of Pain Meds

Stephen G. Gelfand, MD, FACP, FACR  |  

Opioid overuse is a dangerous path

Physician, Rate Thyself

David S. Pisetsky, MD, PhD  |  

Ranking the quality of medical care is much more complex than picking the best Italian restaurant in town

Clean Claims Equal Prompt Payment

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Submitting a clean Medicare reimbursement claim the first time can save your practice thousands of dollars each year. The Centers for Medicare and Medicaid Services (CMS) defines a clean claim as “a submitted patient claim form without any defect or need for substantiation.”

Is Your Office Lab Up to Par?

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Rheumatology practices with laboratory testing facilities in their offices can offer important benefits to patients and physicians. During their care of patients with musculoskeletal and rheumatic diseases, rheumatologists may order many tests, including erythrocyte sedimentation rate, synovial fluid analysis, complete blood count, fecal occult test, and urinalysis. While the prompt receipt of test results and the capability to evaluate specimens in the office directly improves efficiency, it is important to remember that offices must be certified to perform laboratory testing, particularly high-complexity tests such as the analysis of synovial fluids.