All Articles Written by Kathryn Disney-Etienne, CCS-P, RT

All Articles Written by Kathryn Etienne, CCS-P, RT - DOO

Welcome to the archived list of all medical billing articles written and posted to the site by our Director of Operations, Kathryn Etienne, CCS-P, RT.

All articles are listed below and categorized by date, newest to oldest. Click any article link below to read the entire article.

10 Common Physician RCM Mistakes

If you’re familiar with the beloved sitcom “Seinfeld,” then you have probably seen “The Opposite,” an episode where George Costanza takes it upon himself to do the complete opposite of what he believes is right. The episode serves as the inspiration for Craig Pedersons’ presentation, “Physician Compensation: 10 Common Mistakes (and Four Solutions),” at the Medical Group Management Association (MGMA) Annual Conference in Anaheim, Calif. “I am going to go through case studies and specific examples of financial train wrecks. I’m not trying to tell people what to do, I’m telling them what to avoid. Case studies allow examples to become a lot more real,” says Pederson, a principle consultant

Posted By: Kathryn on October 9th, 2017 | No Comments

Your Medical Billing Team is The Center of Your Business

Over the past three years, I’ve really managed to shift who makes policies, enforces policies, and understand why policies are made. Often times, leaders and managers who lack either training or experience create more and more policies rather than approaching a specific person about their behavior. Typing up a policy seems the least resistant way to handle a problem. But I warn you this is the worst approach to take. When you create policies for this reason, you are stifling and handcuffing your remaining staff, who will most likely end up leaving the company due to so many rules and policies. Let’s be clear here, I love structure and process,

Posted By: Kathryn on September 11th, 2017 | No Comments

Improving Patient Experience and Your Bottom Line

No matter how big or small your medical practice is, most administrative leaders and physicians are stressed about outcomes, paying bills, compliance, and — most importantly — keeping patients happy. Unfortunately, while realizing your practice has the same issues as any other brings a feeling of camaraderie, it doesn’t solve any problems. Many practices still carry the mindset that, “if you build it, they will come.” However, the day-to-day challenges of staying profitable in a challenging patient environment dominated by Google reviews and a major push for value-based care are becoming harder to bear. As patients are behaving more like consumers, practices need to embrace a patient-centered mindset in order

Posted By: Kathryn on September 8th, 2017 | No Comments

New Orthopedic Coder Position at OMG

We are hiring again. Outsource Management Group, LLC, is seeking an experienced orthopedic coder to work in our office and closely with our numerous orthopedic clients. This position is to be full-time with all benefits, however,  a part-time position is possible for a candidate that fits perfectly, but is unable to be full-time. This position is to be filled in our office at the address below, if you are unable to work in our office in Bloomington, Indiana, please do not submit a resume for this position. Acceptable candidates possess either 1 or more of the following: 1. Currently holds a coding certification through AHIMA or AAPC 2. Has 2-3

Posted By: Kathryn on January 7th, 2016 | No Comments

Is Your Small Practice Ready for ICD-10?

It’s 193 days to ICD-10 and to be honest, that’s not much time! It’s time to get your practice ready to use ICD-10, but where do you begin? There’s no question it can be overwhelming! Here’s the steps we recommend to any Providers that ask. Let’s get started. Put One Person in Charge First things first, you need to assign the task of overseeing ICD-10 to someone on your staff. It doesn’t matter whether that person is the biller, a coder, the office manager, or someone else. Their goal is to lead the process, ensure things are on task and on target, and to oversee the details.   Develop a

Posted By: Kathryn on March 21st, 2014 | No Comments

Pediatric Patient History – Who Can Take It?

Contrary to popular belief, it is safe practice to allow any office member to take the review of systems and the family social history. These two evaluation and management history elements can actually be taken by absolutely anyone. It is ok in medical billing for a parent or a secretary to take down this information as long as the information is reviewed and signed off on by the acting pediatrician. The only part of an evaluation and management visit that the physician or nurse practitioner must complete for medical billing purposes is the history of present illness or the reason for the visit. By allowing your administrative staff to complete

Posted By: Kathryn on October 20th, 2013 | No Comments

Surefire Tips to Identify Wound Repair Level

Wound repair causes a lot of confusion among medical billers and medical coders. It’s not always easy to identify the level of wound repair involved when reading an operative report. If you cannot quickly ascertain the level of wound repair, then you need to check for a few things. In order to identify wound repair level, you should look to the operative report for these key words and clues: -If a surgeon mentions single layer closure in his or her operative report, it is a simple repair. Simple repairs involve superficial wounds that involve “primarily epidermis, or dermis or subcutaneous tissues without significant involvement of deeper structures” according to the

Posted By: Kathryn on April 10th, 2012 | No Comments

Bill One or Bill Twice for 97001/97002?

Patient evaluation codings can be very confusing. The patient initial evaluation code is 97001 (also, 97003, 92506, 92610) however if the patient is reevaluated (97002- patient reevaluation) within a 12 month period only one unit of service may be billed to Medicare Part B patients no matter how much time was spent actually servicing the patient. If you make a mistake and bill the carrier for the evaluation and a unit of service for the reevaluation, your claim will be denied based on incorrect coding no matter how much medical documentation you provide showing the necessity of the reevaluation of the patient. Keeping up with the fast paced changes of

Posted By: Kathryn on May 2nd, 2009 | No Comments