Read this article for details about the basics of pediatrics medical billing and why outsourcing this billing task can be advantageous for practitioners.
Our patient accounts staff answers to frequently asked billing questions at Summit Medical Group. Topics include bringing your insurance card to all medical visits, the ABC's of co-pays, deductibles and co-insurance, and the difference between in-network and out-of-network services.
The Art of Practice Management Dental Pearls - October 2016Marianne Harper
An insightful and informative newsletter from the Art of Practice Management. A dental practice management consulting company that focuses on revenue and collection systems, front desk systems and forms, dental insurance processing, medical/dental cross-coding systems and employment-law compliance.
Healthcare Billing and Reimbursement: Starting from ScratchDale Sanders
The healthcare billing environment in the US is a disaster. It creates huge waste in care and cost. As presented at the Cayman Islands International Healthcare Conference in October 2010, this slide deck suggests what the billing system might look like, if we could start over.
Our patient accounts staff answers to frequently asked billing questions at Summit Medical Group. Topics include bringing your insurance card to all medical visits, the ABC's of co-pays, deductibles and co-insurance, and the difference between in-network and out-of-network services.
The Art of Practice Management Dental Pearls - October 2016Marianne Harper
An insightful and informative newsletter from the Art of Practice Management. A dental practice management consulting company that focuses on revenue and collection systems, front desk systems and forms, dental insurance processing, medical/dental cross-coding systems and employment-law compliance.
Healthcare Billing and Reimbursement: Starting from ScratchDale Sanders
The healthcare billing environment in the US is a disaster. It creates huge waste in care and cost. As presented at the Cayman Islands International Healthcare Conference in October 2010, this slide deck suggests what the billing system might look like, if we could start over.
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Coordination of Benefits and its implications to Health PlansCitiusTech
Coordination of Benefits (COB) allows plans that provide health and/or prescription coverage with Medicare to determine their respective payment responsibilities (i.e. determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Member’s primary plan has the responsibility of paying claims first, followed by coverage by remaining plans. This process of splitting the costs across multiple coverage is called COB. This document introduces COB and how health plans and members benefit through COB regulations.
Common challenges faced by Physicians and Practitioners with Medical Billingjennyvergeese
Medical billing refers to the process of filing and following up on claims with health insurance companies / providers in order to receive payments for the healthcare services rendered to patients by the practices / physicians. Medical billing serves as an effective channel between medical service providers and insurance companies.
Top 5 Outpatient reimbursement questions for Wound CareJessica Parker
Do outpatient reimbursement challenges frustrate you a lot? Medicare reimbursement regulations that are currently impacting wound care practices. Wound care professionals still have to follow the coding, payment, and coverage regulations for submitting claims to traditional Medicare.
A comprehensive view of how Medical Billing works. How to prepare medical claims, patient eligibility, example insurance cards, Medicare / Medicade, authorization of services, charge entry, fee schedules, claim submissions, posting ERAs / EOBs, rejected or denied claims (and their correction), secondary claims, cycle of a claim, revenue cycle, provider info needed on a claim, evaluation and management: coding and evaluations and basic components, etc,. By Medwave Medical Billing & Credentialing at http://medwave.io.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Medical billing and coding summary are useful while handling medico legal services. This ppt explains about what is medical billing and coding, how they are done.
Revenue Cycle Management: Market Dynamics & Opportunities in a Changing Healt...Cognizant
Sourcing revenue cycle management can help healthcare insurers overcome growing reimbursement complexities. Yet providers say managing dozens of RCM vendors comes with its own complications. That’s why they’re increasingly sourcing comprehensive RCM solutions with a single vendor to generate greater efficiencies, reduce costs and improve patient satisfaction.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Understanding Document Managment Systems and Nuxeoanicewick
This is a presentation provided to the CollectionSpace project to help understand the where document management application fit, and how Nuxeo is used.
see www.data4USA.com for details
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Coordination of Benefits and its implications to Health PlansCitiusTech
Coordination of Benefits (COB) allows plans that provide health and/or prescription coverage with Medicare to determine their respective payment responsibilities (i.e. determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Member’s primary plan has the responsibility of paying claims first, followed by coverage by remaining plans. This process of splitting the costs across multiple coverage is called COB. This document introduces COB and how health plans and members benefit through COB regulations.
Common challenges faced by Physicians and Practitioners with Medical Billingjennyvergeese
Medical billing refers to the process of filing and following up on claims with health insurance companies / providers in order to receive payments for the healthcare services rendered to patients by the practices / physicians. Medical billing serves as an effective channel between medical service providers and insurance companies.
Top 5 Outpatient reimbursement questions for Wound CareJessica Parker
Do outpatient reimbursement challenges frustrate you a lot? Medicare reimbursement regulations that are currently impacting wound care practices. Wound care professionals still have to follow the coding, payment, and coverage regulations for submitting claims to traditional Medicare.
A comprehensive view of how Medical Billing works. How to prepare medical claims, patient eligibility, example insurance cards, Medicare / Medicade, authorization of services, charge entry, fee schedules, claim submissions, posting ERAs / EOBs, rejected or denied claims (and their correction), secondary claims, cycle of a claim, revenue cycle, provider info needed on a claim, evaluation and management: coding and evaluations and basic components, etc,. By Medwave Medical Billing & Credentialing at http://medwave.io.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Medical billing and coding summary are useful while handling medico legal services. This ppt explains about what is medical billing and coding, how they are done.
Revenue Cycle Management: Market Dynamics & Opportunities in a Changing Healt...Cognizant
Sourcing revenue cycle management can help healthcare insurers overcome growing reimbursement complexities. Yet providers say managing dozens of RCM vendors comes with its own complications. That’s why they’re increasingly sourcing comprehensive RCM solutions with a single vendor to generate greater efficiencies, reduce costs and improve patient satisfaction.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Understanding Document Managment Systems and Nuxeoanicewick
This is a presentation provided to the CollectionSpace project to help understand the where document management application fit, and how Nuxeo is used.
see www.data4USA.com for details
The Symantec NetBackup Platform is a complete backup and recovery solution that is optimized for virtually any workload, including physical, virtual, arrays, or big data infrastructures. NetBackup delivers flexible target storage options, such as tape, 3rd-party disk, cloud, or appliance storage devices, including the NetBackup Deduplication Appliances and Integrated Backup Appliances.
NetBackup 7.6 delivers the performance, automation, and manageability necessary to protect virtualized deployments at scale – where thousands of Virtual Machines and petabytes of data are the norm today, and where software-defined data centers and IT-as-a-service become the norm tomorrow. Enterprises trust Symantec.
ServiceNow application provides leadership experience, expertise, training and certification for ServiceNow customers. Along with a broad ecosystem of partners, certified consultants ServiceNow help ensure that customers always have access to the resources they need - when they need them - time-to-value of the acceleration.Using the methodology of implementation startnow , a methodology provided by thousands of successful experience with professional service implementations, use the best practices and expertise in the field to conduct implementations, train users, provide preparation services and optimize production configurations to successfully transform IT.Utilizing the ServiceNow implementation and professional services in conjunction with the partner ecosystem you are guaranteed success implementing the platform
also provide homepage properties,UI properties,xml Impact,transform script analyzing scripts with partners.Introduction to SMTP and POP mail servers,Email notifications,SLA Properties,Create Read, Write and Create ACL on table and field level.Debugging ACL,Debugging Business Rule,Introduction to web services,Introduction to scheduled jobs.
Getting started with SAP PI/PO an overview presentationFigaf.com
This presentation shows you all the concepts of developing with SAP Process Integration (PI) and SAP Process Orchestration (PO). You will learn about the architecture. The way the different datatypes both external definition and message and datatypes can be constructed to create a Service Interface. How the message mappings is connected with the operation mappings.
The presentation also cover the System Landscape Directory and how it must be integrated with the runtime of the system.
You will see how the objects is configure so the messages can be processed. Get up to speed on how the adapters is developed and can be used.
If you want to know more goto http://picourse.com to start the free program, or sign up to one of the affordable SAP PI courses or learn how to use BPMN on SAP PO. The presentation covers the first module of the course.
There's all kinds of art out there, including drawing, painting, photography, mixed media, printmaking and sculpture. View examples of each and find other useful links and books to learn more.
Created and presented by Becky O'Neil, Teen Librarian at the Westerville Public Library.
A brief presentation of various career opportunity that exist within the domain of marketing. Especially useful for MBA or Business Graduate students...Most case in reference are of India.
Presentation in December 07.
WELL VISIT CODING AND BILLING FREQUENTLY ASKED QUESTIONS .docxalanfhall8953
WELL VISIT CODING AND BILLING
FREQUENTLY ASKED QUESTIONS
If you directly pay any portion of your child’s health care costs (co-pay, deductible, HSA, etc), then it is
important to have a general understanding of medical coding and billing. It’s a confusing, boring area but
Kidz1st offers the following explanations and examples to help you understand your potential financial
responsibilities.
What are medical billing codes?
Medical billing codes started in the late 1970s and were originally called Healthcare Common Procedure
Coding System (HCPCS) Level 1 codes. In the mid-1990’s, the core set of codes were further expanded
and refined and became known as Current Procedural Terminology, or CPT, codes. CPT codes are a
standardized, numerical coding system that defines every possible service, procedure, test, product, and
device that can be provided in the delivery of health care. The codes fill an 800 page book! A small subset
of CPT codes, called Evaluation and Management, or E/M, codes are used to define office visits.
Why do we need CPT codes?
Consistency in the definitions of what is performed, documented, and billed has two purposes:
1) To make sure that there is adequate and consistent payment to health care providers
2) To minimize the chance of fraud by providers and insurance companies.
What do CPT E/M codes tell us?
CPT E/M codes tell us what is typically done at office visits or the “typical resources” needed. Resources
include office expenses, provider training/skills/experience, performing the history and physical exam,
decision making complexity and risk, coordination of care, evaluating outside records, counseling, and
time. E/M codes are divided into codes for well visits and codes for acute, chronic, and follow-up visits.
Who determines which CPT codes to use for an office visit?
The health care provider who performs the services is ultimately responsible for the accuracy of the codes
billed. Larger offices may employ professional coders. It’s actually a good field to go into! However,
Kidz1st does not delegate this very important responsibility. We believe that the person who actually did
the work, the health care provider, has the best knowledge of what was actually done. So we train our
providers in the gory details of coding. And we do detailed, daily internal auditing so that patients and
insurers alike can be confident that we provide the most accurate coding possible.
Why would I want to know about billing codes?
With the country’s economic woes, we are seeing a rapidly spreading trend of employers shifting more
health care expenses, both premiums and direct costs, to employees. Ignorance may be bliss when
someone else is paying the bills but if you are paying, all of this coding information becomes relevant.
So what is included in a “typical” acute visit?
For acute, chronic, and follow-up visits, increasing levels of resources required.
What are the most common Family Practice CPT codes?Jessica Parker
The most common CPT codes used by family physicians for medical billing are 99213 and 99214. The CPT system and CMS Evaluation & Management (E&M) rule states that 99213 can be used if a physician treats a patient for one stable chronic condition, such as stable cirrhosis of the liver.
Top 5 Challenges Faced by Medical Billing Services and How to Overcome ThemOmniMD Healthcare
Let us understand some common challenges that medical billing services face and how to overcome them. This will ensure optimized and consistent revenue streams for the healthcare facility or organization. For more details kindly visit us our website.
Crack the Code & Master Internal Medicine Coding to Ensure Compliance.pdfLeo Luke
Learn how to properly code for internal medicine to comply with regulations and optimize your revenue. Master the internal medicine coding.
A patient comes in with a complex set of symptoms you diagnose and treat, then must document every detail to get paid properly for your services. Coding for internal medicine is challenging but essential. If you don’t capture the right codes, you could face penalties or miss out on revenue that keeps your practice running.
Internal medicine coding refers to the process of assigning medical billing codes to patient encounters and procedures for internal medicine physicians. As an internal medicine coder, you review patient medical records and determine the appropriate code for each diagnosis, symptom, test, and treatment. The codes and rules for internal medicine coding are constantly changing. It’s critical that you stay up to date with the annual code updates and changes to coding guidelines. You should regularly review bulletins from the AMA and CMS.
You must know the common codes and modifiers to properly code internal medicine services. Some of the frequent evaluation and management (E/M) codes you’ll use are:
99201-99205: Office/Outpatient Visit, New Patient
For a new patient’s initial visit, choose the code based on the complexity of the visit. 99201 is used for a straightforward visit, while 99205 is for a highly complex initial visit.
99211-99215: Office/Outpatient Visit, Established Patient
Choose a code for follow-up visits with existing patients depending on the complexity. 99211 is a general visit, 99214 is moderate complexity, and 99215 is highly complex.
You’ll also use various modifier codes to provide more details, such as:
25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.
57: Decision for surgery.
24: Unrelated evaluation and management service by the same physician during a postoperative period.
Proper coding depends on documenting the key components: history, exam, and medical decision-making. Remember to capture the patient’s complaints, symptoms, and medical history. Note your review of systems and any diagnoses or treatment options discussed. An accurate account of services provided will ensure correct coding and compliance.
If you have a complex case or coding question, ask an experienced coding professional for guidance. Discussing coding scenarios with others helps reinforce your own understanding and can uncover alternative considerations. Seeking guidance when unsure will boost your confidence in code selection.
Following these practical strategies will strengthen your internal medicine coding skills, support compliance, and ensure accurate reimbursement. Continuous learning and improvement are key to mastering medical coding.
While coding software and references can assist in the process, human judgment is still required.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities. I
4 Key Points in Gastroenterology Billing To Get Reimbursed.pptxScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pptxScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Understanding Basics Of Internal Medicine Billing And Coding.pptxRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
diagnosis code confusion leads to medical billing errorsMichel Desuza
While outsourcing your medical billing services in California, ensure your billing partner is equipped with the latest demands of medical billing and coding according to the healthcare reforms.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
QUESTIONAs an advanced practice nurse (APN), it is essential to.docxmakdul
QUESTION:
As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
To prepare:
· Select one of the provided case studies.
· Review the patient documentation given for the case. Think about medicolegal considerations and the responsibilities of the advanced practice nurse.
· Consider the medical codes selected by the advanced practice nurse. Reflect on how the selections might impact clinical practice and billing. Think about how the impact might differ from primary to acute care settings.
·
By Day 3
Post a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings.
Case Study 1:
Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232.
ANSWER:
Introduction:
It is no secret that Evaluation and Management (E/M) miscoding and claims have been causing a major problems for the medical industry over the past several years. According to the Department of Health and Human services, there were about $6.7 billion inappropriately pain in 2010, that amounted to 21% of Medicare payments and a staggering 42% of incorrectly coded claims. Medical coding is the transformation of healthcare diagnosis, procedures, medical services and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory, and radiologic results, etc. Subsequent hospital care CPT codes 99231 and 99232, respectively, require “a problem focused interval history” and “an expanded problem focused interval history. 99231 has a problem focused history, a problem focused exam and a straight forward MDM or Medical Decision Making (or of low complexity). 99231 requires documentation ...
To reduce denials and ensure that clinicians are paid promptly and appropriately for patient care, accurate and compliant coding is essential.
To accurately report their services on claims, many clinicians are turning to professional medical coding services.https://www.outsourcestrategies.com/outsourced-medical-coding-services/
Accurate physical therapy (PT) billing is crucial for the success and sustainability of your
practice. Beyond simply ensuring proper reimbursement for services rendered, precise
billing practices can help maintain financial health, facilitate practice growth, and support
delivery of high-quality patient care.
Healthcare providers are finding it difficult to stay on top of changes in insurance policies, coding requirements, and regulations while still concentrating on
patient care.
Accurate medical billing documentation guarantees that insurance companies have all
the information they need to handle claims quickly, which speeds healthcare
reimbursement. Precise documentation in conjunction with expert medical billing
services foster a seamless financial environment that is advantageous to patients and
providers alike.
For healthcare providers looking to improve administrative efficiency, reduce overhead costs, enhance compliance, and focus on core activities, outsourcing medical billing could be the practical option.
Outsource Strategies International can help you speed up claims processing and optimize your revenue cycle by providing dedicated medical billing services.
Medical billing plays a crucial role in ensuring that healthcare providers receive timely and accurate reimbursement for the services they render. However, navigating the intricacies of medical billing can be challenging and mistakes can occur, leading to financial losses and potential compliance issues.
Meningitis, a devastating disease with a high fatality rate, can lead to serious long-term
complications. Physicians treating patients with the condition can consider to outsourcing medical billing and coding to report the condition correctly on claims. By enlisting the services of a professional medical coding company that employs AAPC-certified coding specialists, healthcare practices can ensure accurate and timely claim submission, leading to optimal reimbursement for
their services.
Patient eligibility verification is the process of confirming that a patient is eligible for the requested medical services, insurance coverage, and any financial assistance programs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. Pediatrics Medical Billing
involves billing for healthcare services
provided to infants, children and adolescents.
Medicare compliancy does not apply to pediatrics,
but there are other complexities to look out for.
The lion’s share of patients in pediatric practices is
covered by Medicaid, with each state having its
own unique Medicaid program. Outpatient
pediatrics Medicaid billing can be really
challenging.
In E/M billing, pediatricians have a definite advantage over other
specialists. A scheduled pediatric visit can last for a very long time,
according to CPT. This is because the patients here are children who cannot
understand detailed and complicated instructions. Moreover, the caregivers
who are mostly young are by and large inexperienced and anxious about
their kids’ health. The pediatrician can therefore spend a long time in
advice and counseling or coordinating care, which in turn will result in
billing a higher level E/M service.
Evaluation
and
Management
Billing
for
Pediatricians
When a pediatrician documents that he/she spent 25 minutes with a
patient, of which 13 or more minutes were spent on counseling and then
detail your discussion, that visit qualifies as a 99214 visit. Pediatricians
must time their visits accurately. Two 99214 visits per hour are possible
with time-based billing, whereas there are no such time limitations when
using the documentation approach to bill a 99214 visit.
www.outsourcestrategies.com
3. Evaluation and Management Codes
Pediatricians Bill for are:
99213
Low Complexity, easy/brief problems
CC, HPI (1-3 elements), ROS 1, PEX 2-4
elements, low MDM, 15mins
Examples: URI, UTI, fever, pharyngitis,
influenza
Moderate
Extended HPI (4 or more), extended ROS (2-9), 1
PFSH, PEX 5-7, moderate MDM, time 25min
Examples: chronic headaches, abdominal pain,
AOM, fatigue, fever without a source, behavioral
problems, ADHD f/u
99214
99215
Comprehensive
Extended HPI, complete ROS (10+: "all other
systems reviewed and negative"+pertinent
elements that are not used in HPI for billing),
2 PFSH, PEX 8+, MDM high, time 40mins
Examples: Headache with vomiting, behavior
problems, ADHD initial evaluation, diabetes
with influenza, anorexia.
www.outsourcestrategies.com
4. A 99214 code is reimbursed at a higher rate than a
99213 code. Physicians need to understand the basics to
correctly code and document a 99214 office visit and get
reimbursed for it.
The Correct Documentation Style
Correct documentation for an office visit should
contain the components history, physical exam and
medical decision making. To code for a 99214 visit,
CMS requires accurate documentation of two of
these three elements.
To report the history, include the
chief complaint, history of the
present illness (HPI), the past
medical, family, and social history
(PFSH) and the review of systems
(ROS). The HPI should include a
minimum of 4 of the descriptive
elements of the presenting
problem. For e.g. if the presenting
problem is ear pain, you have to
document the location (right ear),
quality (stinging or burning),
duration ( say, 4 days), timing
(constant or sporadic) and severity
(8/10 on the pain scale). Report
one of 3 elements for PFSH that is
pertinent to the presenting
problems. For e.g. this could be a
list of medications, a statement of
drug allergies or exposure to ill
persons. Two or more relevant
elements of ROS should be
documented to satisfy the history
component of the 99214 visit.
To document the physical exam
component of a 99214 visit,
examination of 5 – 7 systems
including the vital signs of the
patient would be sufficient.
Determining medical decision
making (MDM) is the most
challenging piece of coding an
office visit. The types of MDM that
CMS recognizes are
straightforward, low complexity,
moderate complexity, and high
complexity. The complexity of
establishing a diagnosis and/or
deciding on a management option
is done by measuring:
-The nature of the presenting problem
-Data reviewed
-The risk of significant complications,
morbidity and/or mortality associated
with the patient’s presenting
problem(s), the diagnostic
procedure(s) and/or the possible
management options.
www.outsourcestrategies.com
7. Modifiers need to be correctly used
with a code when necessary:
-25: separately identifiable E/M
services by same physician on the
same service date as a procedure
(and EM and a procedure done on
the same day)
-51: multiple procedures by the
same physician on the same date of
service for the same identifiable E/M
-59: separate "distinct" procedure
-57: surgery code used for removing
foreign body, reducing an elbow
Medical Billing Services Can Be
Supportive
There are specific billing
requirements characteristic of the
pediatric specialty such as billing for
vaccines. Vaccines must be billed and
followed up opportunely to ensure
accurate reimbursement. Providers
must make sure that the right NDC
number and diagnosis code are used,
apart from ensuring that the payer
rues are followed to the minutest
detail. Another consideration is ICD-
10 billing. This requires
familiarization with the ICD-10 codes
which are more complex and
comprehensive. In this context,
reliable medical billing services can
be really supportive.
Medical Billing Services Can
Be Supportive
There are specific billing
requirements characteristic
of the pediatric specialty
such as billing for vaccines.
Vaccines must be billed and
followed up opportunely to
ensure accurate
reimbursement. Providers
must make sure that the right
NDC number and diagnosis
code are used, apart from
ensuring that the payer rues
are followed to the minutest
detail. Another consideration
is ICD-10 billing. This
requires familiarization with
the ICD-10 codes which are
more complex and
comprehensive. In this
context, reliable medical
billing services can be really
supportive.
www.outsourcestrategies.com
8. Comprehensive
Medical Billing Services
www.outsourcestrategies.com
General Pediatrics
Pediatric Endocrinology
Pediatric Cardiology
Nutrition Services
Pediatric Infectious Diseases
Pediatric Neurology
Pediatric Oncology
Pediatric Gastroenterology
Pediatric Pulmonology
Pediatric Nephrology
Clinical Genetics
Behavioral Psychology
Child Life Program
9. Why Outsourcing
Pediatrics Medical Billing
Is Practical?
Professional medical coders and billers will have
adequate knowledge in the basics of pediatrics
medical billing and ensure timely and accurate
medical coding and billing. This will allow you to
invest more time on providing patient care and
staying competitive in the industry. Apart from
that, you could enjoy a lot of benefits such as the
following.
Speedy and maximum reimbursement
Avoid coding mistakes and delays
Minimize payroll and operational expenses
The cost of telephone and postage expenses is reduced
Efficient follow-up on denied claims
Improved office efficiency
Cut down staffing issues and training time
One-time claim submission
Maximize patient and physician satisfaction
Reduce paperwork and the burden of handling tasks in-house
Enhanced cash flow and improved collections
Generate and submit claims through electronic means
Increase overall revenue
www.outsourcestrategies.com