Coding

  • 1.  Can someone advise PLEASE

    Posted 04-01-2022 23:04
    Greetings, 
    Can someone please suggest or advise coding/billing compony that understands MFM Billing?
    Thank you ALL!

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    Violetta Lozovyy, MD
    vlozovyy@highrisk-pregnancy.com
    (214) 600-5015
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  • 2.  RE: Can someone advise PLEASE

    Posted 04-02-2022 19:03
    The best thing you can ever do is learn about billing and collections yourself.  Hire an experienced biller, and watch metric (in the PM book).   The easiest way to throw away money is to hire a billing company.   They will only chase the easy stuff.  Next, you HAVE to collect at time of service.  If you dont, the best billing in the world will not be able to help.

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    Brian Iriye
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  • 3.  RE: Can someone advise PLEASE

    Posted 04-04-2022 10:27
    Hi Violetta
    I definitely agree with Brian, certainly as a starting point, understanding the coding/billing yourself is helpful. 
    The practice management book Brian/Tony/Dan wrote is amazing - found in the SMFM bookstore  Shop | SMFM.org - The Society for Maternal-Fetal Medicine
    Smfm remove preview
    Shop | SMFM.org - The Society for Maternal-Fetal Medicine
    This guide is specifically for physicians, managers and administrators and will help you: SMFM members, please log in to your account to receive the member price. If you are having trouble logging in please contact Courtney Thompson cthompson@smfm.org or 202-517-6563.
    View this on Smfm >

    The SMFM Coding book is also available for purchase, or included if you attend one of the coding courses:
    Shop | SMFM.org - The Society for Maternal-Fetal Medicine
    Smfm remove preview
    Shop | SMFM.org - The Society for Maternal-Fetal Medicine
    The CPT Coding manual from SMFM if a comprehensive reference for coding in Maternal Fetal Medicine. This manual provides MFM practices, their physicians and support staff detailed explanations regarding the commonly utilized codes and procedures in MFM to code accurately and ensure reimbursement.
    View this on Smfm >

    Lastly, I would refer you to Frank or Brad through the consulting services - consulting
    Smfm remove preview
    consulting
    SMFM's Practice Management Consulting services help MFM physicians and their associated organizations strategically promote excellence in operational efficiency, profitability, and patient care.
    View this on Smfm >

    they would be able to advise you as to the pros/cons of utilizing a coding company and have suggestions/recommendations.
    best,
    Vanita


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    Vanita Jain, MD
    Chair, SMFM Coding Committee
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  • 4.  RE: Can someone advise PLEASE

    Posted 04-04-2022 08:13
    I agree with Dr. Iriye, I would never hire an outside billing agency for any medical practice much less Maternal Fetal Medicine.  MFM requires hands on monitoring as the insurance companies (esp BCBS) will deny things that require an appeal to be paid. I guarantee you that no billing company will have the staff that knows anything about MFM. Minimally find someone with a lot of OB experience and pay someone who knows MFM billing to mentor them/train them up.  It's hard to find MFM experience.  Pay for your billers to attend the SMFM coding courses, where they will meet other MFM billing managers/staff.

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    Jolene Reeves
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