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HUMAN RESOURCES

5 people problems and how to solve them

By Lynne Curry bio We can’t guess all the challenges facing us as office managers in this new year, but we can assume that we will be dealing with an old one: people and their personalities. Whether working together virtually or in-person, chances are good you will be dealing with people problems. Here are five common problems and strategies for dealing with them. Stopping a bully senior manager without losing your job Question: I face a situation that has no easy answer and no easy solution. As the office manager and human resources director, I supposedly enforce our corporation’s code of conduct and oversee the human resource issues. I report to the report to the chief operating officer, a bully who runs roughshod over any employee unlucky enough to cross… . . . read more.

KICKBACKS

OIG issues fraud alert on pharmaceutical company in-person speaker programs

Before the pandemic put the chill on live conference events, it was fairly common for pharmaceutical companies, device makers and diagnostics companies to offer healthcare professionals fees for in-person speaking appearances. Such practices raise red flags under the federal Anti-Kickback Statute (AKS) when those speakers recommend the products of those companies to their patients. So, on Nov. 16, the OIG issued a Special Fraud Alert warning companies about restarting in-person paid healthcare professional speaker programs when COVID-19 restrictions lift. OIG Skepticism of Speaker Fees Program Federal government suspicion of paid speaker programs, especially by pharmaceutical companies, is nothing new. For example, Novartis recently agreed to pay $678 million to settle a seven-year-long legal battle with the OIG over allegations of using its speaker programs as a way to disguise bribes to… . . . read more.

CODING

Impact of 2021 evaluation and management coding changes to WRVU based physician compensation

By John McDaniel bio As you may know, all physician contracts which include any form of WRVU based compensation will need to be reviewed and probably amended due to the increase in WRVUs (work relative value units) associated with E&M CPT codes effective Jan. 1, 2021. We recently conducted an assessment for one of our hospital clients which showed the ʺunintended consequencesʺ of increased compensation to the physicians/providers and the resultant impact to fair market value standards. This has been necessitated by CMS whereby the final decision involved eliminating CPT Code 99201 and leaving CPT Code 99211 unchanged. The changes for CPT Codes 99202‐99205 and 99212‐99215 have resulted in increased reimbursement since the WRVUʹs for these codes have increased. Indeed, the increase in the WRVU component will certainly affect physician compensation… . . . read more.

CODING ALERT

Physicians should consider these overlooked codes

By Lisa Eramo bio It’s a common complaint heard among primary care physicians: Evaluation and management (E/M) codes don’t adequately capture the time, skill, and resources necessary to plan and coordinate care for patients with complex medical needs. Although new, streamlined E/M guidelines for 2021 may help, several existing remedies can enable physicians to capture additional revenue for the services they provide. More specifically, the U.S. Government Accountability Office (GAO) has published a list of 58 CPT codes that fall under the category of “longitudinal comprehensive care planning” (LCCP) for Medicare beneficiaries diagnosed with a serious or life-threatening illness. These codes include elements of shared decision-making through interdisciplinary care as well as development of a care plan to address the following: Progression of the disease and treatment options Beneficiary’s goals,… . . . read more.

WORKING WITH PHYSICIANS

How to handle the ‘bully doctor’ without losing your temper or your job

A growing concern in all types of professional offices is the bully boss. “Bullying is the issue for this decade that sexual harassment was in the…


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MANAGING STAFF

The plain and practical side of medical office managing

Equally as important as regulations, revenue, coding, and Medicare are the day-to-day issues of running the office and managing the…


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YOUR CAREER

Are you “aggressive” or “assertive”? Take this quick self-evaluation and find out

To manage people, a manager has to be assertive.
But be aware that there’s a strong difference between being assertive and…


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READER TIPS

Weekly applause sheet creates positive attitude among staff

Any office experiences negative feelings among staff. But Sharon Hunter, manager of Granbury Internal Medical Associates in Granbury, TX, found…


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MANAGING STAFF

“Why are you leaving us?” 5 key questions to ask staffers who resign

There’s good information to be had from a staffer who’s leaving.
People who have resigned “don’t have a hidden agenda.” They tend to be candid…


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TECHNOLOGY

How to handle patients who diagnose themselves

There’s a wealth of medical information online, and increasingly patients are tapping it to come up with their own diagnoses. Needless to say, this results in numerous challenges for medical practitioners and office staff.
But how exactly do you navigate the issues that arise from…


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