All Articles Written by Melissa Clark, CCS-P, RT

All Articles Written by Melissa Clark, CCS-P, RT - President and CEO

Welcome to the archived list of all medical billing articles written and posted to the site by our Chief Executive Officer, Melissa Clark, 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.

Interoperability Questions to Consider During EHR Selection

“Improving interoperability is the central focus of several CMS federal incentive program policies, ONC initiatives, and new partnerships between EHR vendors and health data exchange services providers. Healthcare’s inability to achieve the level of seamless information exchange now common among other industries — such as banking — frustrates healthcare stakeholders across the industry. In a September 2018 survey, nearly 40 percent of physicians cited the current lack of interoperability in healthcare as a primary source of dissatisfaction. While there is no silver bullet that will solve the interoperability problem overnight, there are steps healthcare organizations can take to improve their ability to exchange patient health information with outside hospitals, health

Authored By: Melissa on October 29th, 2018 | No Comments

61% of Physicians Say EHR Systems Reduce Clinical Efficiency

“EHR systems continue to fall short of provider expectations and detract from the joys of practicing medicine, according to a recent national survey by The Doctors Company. More than 3,400 physicians from 49 states and the District of Columbia offered their perspective on EHR technology, federal regulations, value-based care, patient-centered medical homes (PCMHs), and other aspects of the healthcare system. Survey respondents included surgical specialists, primary care providers, and nonsurgical specialists. The majority of respondents were 51 and older. Overall, the majority of surveyed physicians reported that EHR systems have had a negative impact on the patient-provider relationship, clinical workflows, and clinical productivity. Fifty-four percent of surveyed physicians stated their

Authored By: Melissa on October 3rd, 2018 | No Comments

Billing and coding for advanced clinical practitioners

Melissa’s Mention…   “A 67-year-old patient with diabetes shows up for her appointment. Her A1C levels are high. She reveals during the visit with the advanced practice clinician that she’s not taking her medication as prescribed. The patient’s physician is doing rounds at the hospital and is, thus, unavailable to consult with the patient in person.   At this point, the practice needs to answer a couple questions:   Can the nurse practitioner (NP) or physician assistant (PA) bill the visit under his/her own national provider identification (NPI) number? Or, is the visit appropriate for “incident to” billing and, thus, billable under the physician who created the patient’s care plan?

Authored By: Melissa on August 29th, 2018 | No Comments

Are Health Record Guidelines the Same in Every State?

Health professionals typically know many federal guidelines instruct how to handle patient health records. However, they may not understand whether such guidelines differ from state to state. Getting clarification on that matter is essential, particularly when people move to other places after practicing in one for extended periods of time, or if they work as traveling providers on short-term assignments. Medical Retention Time Frames Vary by Location One of the specifics health providers must comply with during their patient care duties relates to the length of time they keep medical records. The details change based on the state. Furthermore, there are differences in retention time for hospitals versus physicians. Some

Authored By: Melissa on July 26th, 2018 | No Comments

RCM tip: Follow all payer billing guidelines

“In today’s healthcare environment, it is more important than ever that healthcare providers follow appropriate billing guidelines for each contract with third-party payers, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. “With the various types of contracts urgent care providers are entering into with third- party insurers, it’s extremely important to follow the appropriate billing guidelines for each. For example, clinical guidelines are not necessarily the same as those for billing,” he told Becker’s Hospital Review. “Many contracts require all providers to be individually credentialed, and services to be billed under the rendering provider, whereas some contracts allow all providers to bill for services under

Authored By: Melissa on July 12th, 2018 | No Comments

Interoperability Questions to Consider During EHR Selection

“Improving interoperability is the central focus of several CMS federal incentive program policies, ONC initiatives, and new partnerships between EHR vendors and health data exchange services providers. Healthcare’s inability to achieve the level of seamless information exchange now common among other industries — such as banking — frustrates healthcare stakeholders across the industry. In a September 2018 survey, nearly 40 percent of physicians cited the current lack of interoperability in healthcare as a primary source of dissatisfaction. While there is no silver bullet that will solve the interoperability problem overnight, there are steps healthcare organizations can take to improve their ability to exchange patient health information with outside hospitals, health

Mentioned By: Melissa on October 29th, 2018 | No Comments

61% of Physicians Say EHR Systems Reduce Clinical Efficiency

“EHR systems continue to fall short of provider expectations and detract from the joys of practicing medicine, according to a recent national survey by The Doctors Company. More than 3,400 physicians from 49 states and the District of Columbia offered their perspective on EHR technology, federal regulations, value-based care, patient-centered medical homes (PCMHs), and other aspects of the healthcare system. Survey respondents included surgical specialists, primary care providers, and nonsurgical specialists. The majority of respondents were 51 and older. Overall, the majority of surveyed physicians reported that EHR systems have had a negative impact on the patient-provider relationship, clinical workflows, and clinical productivity. Fifty-four percent of surveyed physicians stated their

Mentioned By: Melissa on October 3rd, 2018 | No Comments

Billing and coding for advanced clinical practitioners

Melissa’s Mention…   “A 67-year-old patient with diabetes shows up for her appointment. Her A1C levels are high. She reveals during the visit with the advanced practice clinician that she’s not taking her medication as prescribed. The patient’s physician is doing rounds at the hospital and is, thus, unavailable to consult with the patient in person.   At this point, the practice needs to answer a couple questions:   Can the nurse practitioner (NP) or physician assistant (PA) bill the visit under his/her own national provider identification (NPI) number? Or, is the visit appropriate for “incident to” billing and, thus, billable under the physician who created the patient’s care plan?

Mentioned By: Melissa on August 29th, 2018 | No Comments

Are Health Record Guidelines the Same in Every State?

Health professionals typically know many federal guidelines instruct how to handle patient health records. However, they may not understand whether such guidelines differ from state to state. Getting clarification on that matter is essential, particularly when people move to other places after practicing in one for extended periods of time, or if they work as traveling providers on short-term assignments. Medical Retention Time Frames Vary by Location One of the specifics health providers must comply with during their patient care duties relates to the length of time they keep medical records. The details change based on the state. Furthermore, there are differences in retention time for hospitals versus physicians. Some

Mentioned By: Melissa on July 26th, 2018 | No Comments

RCM tip: Follow all payer billing guidelines

“In today’s healthcare environment, it is more important than ever that healthcare providers follow appropriate billing guidelines for each contract with third-party payers, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. “With the various types of contracts urgent care providers are entering into with third- party insurers, it’s extremely important to follow the appropriate billing guidelines for each. For example, clinical guidelines are not necessarily the same as those for billing,” he told Becker’s Hospital Review. “Many contracts require all providers to be individually credentialed, and services to be billed under the rendering provider, whereas some contracts allow all providers to bill for services under

Mentioned By: Melissa on July 12th, 2018 | No Comments