Search results

  1. rthomas@impcna.com

    Wiki EPIC in Physician-Owned Primary Care Office

    We are a Physician-Owned Internal Medicine & Pediatric Primary Care office. We looking into switching our EHR & PM to EPIC since both of the major hospitals in our area are on EPIC. Looking for input, pros & cons, and advice. I am the billing manager & credentialing specialist. Since I have...
  2. rthomas@impcna.com

    Wiki New Patient Documentation

    Should the documentation of an office note indicate if a patient is new? My established providers document if the patient is new to group in either the Chief Complaint or HPI. ie: Patient present as a new patient for refills on blood pressure medicine but my newer providers do not. I thought I...
  3. rthomas@impcna.com

    Wiki CPT for Parent wanting to meet w/Pediatrician, patient not present?

    We had a parent call interested in scheduling a time to come speak with one of our pediatricians to see if our practice would be a good fit to provide primary care for her 4 children. The parent would be coming alone. All 4 of these children would be new patients. One child has severe special...
  4. rthomas@impcna.com

    Wiki CPT for parent & physician consult?

    We had a parent call interested in scheduling a time to come speak with one of our pediatricians to see if our practice would be a good fit to provide primary care for her 4 children. The parent would be coming alone. All 4 of these children would be new patients. One child has severe special...
  5. rthomas@impcna.com

    Wiki Laceration Repair Global Period?

    Pt has laceration of wrist with no numbness or loss of ROM on initial exam. One week later he returns and reports numbness to the top of hands and fingers of same hand. Would this fall into the global period of the laceration repair since it is probably a result of the laceration or would I be...
  6. rthomas@impcna.com

    Wiki Pfizer Covid Vaccine 6 months - 4 yrs Administration

    Anyone else having problems getting problems getting this paid by Medicaid (I'm in Mississippi) or MCO? When we called Medicaid the first rep told us if its not on the fee schedule or on the bulletin its not covered. The second rep said she didn't know anything about this either. We had to...
  7. rthomas@impcna.com

    Wiki Who outsources their credentialing?

    I am the Billing Manager for a physician owned practice that currently has 1 location with 12 providers. In early 2023 we will be opening a second location and adding more providers. Currently I handle all of the credentialing and it is starting to become more difficult to keep up with. Not only...
  8. rthomas@impcna.com

    Wiki Opening Second Location

    Our practice will be opening a second location in late 2022. This location will have it's own TIN. Does anyone have an advise on how to start preparing now?
  9. rthomas@impcna.com

    Wiki Can an OTC medication be considered for prescription mgmt?

    I know that cetirizine (Zyrtec) is an otc medication but it's covered under Medicaid if the provider sends a prescription to the pharmacy. Pediatric patient was seen for seasonal allergies and prescribed cetirizine with 11 refills.
  10. rthomas@impcna.com

    Wiki DM Retinopathy Screening performed by PCP

    We are going to start performing retinopathy screenings for our DM patients in April. I was hoping to get some advice regarding coding and billing from other practices that are already doing these. I have done a lot of research about coding and payer requirements and reimbursement, I feel...
  11. rthomas@impcna.com

    Wiki New Patient Physical Exam under 2021 changes

    I know that a complete physical exam is no longer required for medical decision making but when it comes to new patients should a provider do a complete physical exam and not just what is relevant to the visit? Sometimes the documentation I have needed to support a code had been found in the...
  12. rthomas@impcna.com

    Wiki 2021 E/M Data Reviewed & Analyzed

    There is some confusion regarding the amount & complexity of date reviewed & analyzed. The question I have is in regards to category 1, if a provider orders 2 tests, an EKG and Spirometry for example, does this count as meeting the requirement for limited data or does the provider have to order...
  13. rthomas@impcna.com

    Wiki 2021 E/M Changes New Patients

    I know under the new guidelines if you are using Medical Decision Making to determine the level of service for an established patient that you MUST meet 2 out of 3 MDM requirements but what about New Patients? If using MDM do you have to meet 3 out of 3 or is it 2 out of 3 just like established...
  14. rthomas@impcna.com

    Wiki New Patients Telehealth

    Has anyone seen anything about the waiver allowing providers to see new patients via Telehealth?
  15. rthomas@impcna.com

    Wiki School POS

    Our local school has reached out to our practice to see if we would be interested in having a provider come to the school twice a week and provide services for sick visits & wellness exams. Was wondering if anyone has any experience will this.
  16. rthomas@impcna.com

    Wiki Place of Service 03 School

    Our local school has reached out to our practice to see if we would be interested in having a provider come to the school twice a week and provide services for sick visits & wellness exams. Was wondering if anyone has any experience will this.
Top