708.452.1111, ext 11 Anthony@gisbilling.com


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2019 Practice Priorities


Protect confidentiality

Assess financial health

Stay ahead of the curve

Charting and Billing practice reevaluation

Manage the revenue cycle

Make innovation profitable

Increase Efficiency

Create a shared perspective

Improve patient services


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Why outsource your billing?


Outsourcing makes good business sense.

Successful medical practices manage their relationship by continual face to face interactions with a competent billing service offering customizable services.

Achievable benefits with outsourced billing:

  • Free up office space
  • Reduce incoming phone calls
  • Turn fixed expenses into variable
  • Know your marketplace
  • Access solid data analytics
  • Know your accounts receivables
  • Have a resource at payer offices
  • Be prepared for a payer audit


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Podiatry, Selecting EHR Software


Selection factors:

  • Electronic Medical Records
  • Patient scheduling software
  • Picture archiving systems
  • Medical billing services
  • Medical billing software
  • Radiology information systems
  • Medical accounting software

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Solo Medical Practices


The solo practice has been on the wane for most of the past three decades.


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Conducting An EHR Vendor Assessment


Steps to Conducting an EHR Vendor Assessment

  • Identify high-priority needs.
  • Identify the most needed EHR features.
  • Set specific, measurable, attainable, relevant and time bound EHR goals.
  • List key decisions of potential deal-breakers.
  • Decide where to store the EHR data: in-office, vendor server, or web-based. 
  • Narrow the field:
    • Solicit the EHR experience of colleagues.
    • Obtain EHR evaluaton tools and resources from medical societies.
    • Utilize online information about different vendors.
  • Further narrow the field using various metrics comparing vendors.
  • Conduct 2-5 face-to-face vendor demonstrations.
  • Compare core functionalities, look and feel, and practice management features.
  • Personally preview each EHR on site, and contact references. 
  • Prepare lessons learned questions by your practice before, during, and after implementation.

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Podiatry Revenue Modifier


Your patient is readmitted to the hospital with cellulitis at the incisional site during the postoperative global period after a transmetatarsal amputation.   

You follow the patient for multiple daily visits.  No surgery performed. 

The only allowable coding option available refers to an "unrelated evaluation and management (E/M) service by the same physician or other qualified health care professional during a postoperative period."

Any diagnosis associated to the amputation will not qualify, only an "unrelated" one will. 


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Choosing The Right EHR


Choosing the right Electronic Health Records (EHR) for your practice can be a daunting task.  

There is enough research documenting improved productivity levels and efficiency gained by EHR Software implementation. 

Large physician practices may have financial flexibility to implement an EHR with bells and whistles driving up the price point.

Small practices often lack this luxury.

Read more: Choosing The Right EHR

Selecting an EHR vendor

Specific critical technological features exist to assure the overall practice success when choosing the right EHR.

Read more: Selecting an EHR vendor

Diagnosis Codes and Service Date Relationship


Diagnosis codes must be reported based on the date of service (including, when applicable, the date of discharge) on the claim and not the date the claim is prepared or received.

Read more: Diagnosis Codes and Service Date Relationship

Modifier Codes Instructions


When desiring to indicate a distinct procedural service the physician may need to indicate a procedure or service was distinct or independent from other services performed on the same day.

This may represent a different session or patient encounter, different procedure or surgery, different site, or organ system, separate incision/excision, or separate injury (or area of injury in extensive injuries).

Read more: Modifier Codes Instructions

Ophthalmology Surgical Modifiers


Ophthalmology Surgical Modifiers

  • Extracapsular cataract removal with insertion of intraocular lens prosthesis
  • Extracapsular cataract removal with insertion of intraocular lens prosthesis
  • Right and Left done on same day Number of units 1
  • Multiple surgical procedures
  • Performed at same session, by same physician on same day


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Coder/Biller Wages


Because demands for coders is high, wages continue to increase with the average salary in Illinois reaching $50, 394 as of September 28, 2018.

Here are  salary statistics for a medical coder and biller in Illinois:

  • Top Earned $60,919
  • Median Wage $54,880
  • Lowest Earned $43,711

Read more: Coder/Biller Wages

Surgical Modifiers #1


To decrease the National Paid Claims error rate, Medicare encourages all practitioners to become familiar with National Correct Coding initiative where they can learn all about the Physician Fee Schedule Data Base and clarify modifier usage.

Learning to use the correct modifier will result in fewer denials.

Read more: Surgical Modifiers #1

Surgical Modifiers #2


Surgical Modifiers

  • Bilateral
  • Multiple
  • Reduced
  • Discounted
  • Co Surgery
  • Team Surgery
  • Assistant Surgery
  • Bilateral Surgery
  • Performed on both sides of body at the same operative session to the same organ or structure


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