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Category Archives: medical office managers

Machine vs. Complaining Employee


I guess I woudn’t want to be a toll booth operator, but it would be better than unemployment.
Last weekend, Jane and I took our daughter Eliza to college in Upstate NY and stopped at a variety of toll booths once we crossed north of the Mason-Dixon Line. On two occasions, we were greeted, well, perhaps […]

How Is Your Rx Working?


Woudn’t it be great if we simply knew what to do for any situation and just could execute a plan knowing that we’d get the results we want?
Sometimes, I think my patients are under that misconception. That, depending on what the problem is, there is one solution that will fix the problem.
 Well, that’s not how, medicine, […]

What you don’t know CAN hurt you… so don’t shoot the messenger.


In seafaring days before the puzzle of calculating accurate longitudes was solved by the accuracy of John Harrison’s chronograph in the 18th Century, as author Dana Sobel puts it in her book entitled Longitude, “every great captain in the Age of Exploration became lost at sea despite the best available charts and compasses.” In fact, […]

My Patients ARE Customers Too


I read with great interest a recent editorial by Dr. Scott Haig, an Assistant Clinical Professor of Orthopedic Surgery at Columbia University College of Physicians and Surgeons who also is in private practice in the New York City area. The piece appeared in Time online and you can read it here.
I saw a reflection of […]

E&M Code Justification: Fraudulent vs. Compliance Correct Methodology


After my audio program last week, there is always a persistent question: “If I choose a code first before I document, coudn’t that be dangerous?”
Well, it’s a polite question that is really saying…”Isn’t this fraud?”
It’s not, and here’s why.
The three key components of an E/M code are:

Medical Decision Making, (MDM)

Two out of the three key […]

What do you expect from CMS?


I recently did a keynote presentation for the Ohio State Medical Association and a breakout session on my Risk Based Coding TM algorithm. Between the programs I visited the vendor displays to see what’s new.
OK….. I didn’t do this to “see what’s new.”
I was trolling for “snags.” Since my youngest daughter was little, she’d always […]

Are you a “Rev” or “Non-Rev”?


I was speaking at a practice management seminar today in Ohio and had the opportunity to listen in to a customer service program. The point was about “customers.” A primary care physician, (PCP), has one “customer,” his or her patient. When the patient is referred to a specialist, the specialist now has two customers. The […]

You Might be on YouTube


Day three of my NSA convention found me attending two memorable general sessions. The first was with Dan Burrus, CSP, CPAE. I had heard Dan speak a number of years ago and didn’t want to miss it. So before my Oakstone Teleconference on Physician Documentation at 1pm Eastern, (10am Pacific), I zipped in to […]

LIVE AUDIO CONFERENCE: Risk Based Coding TM July 11


I’ll be giving a live audio conference on July 11, 2007 on my Risk Based Coding TM algorithm with Oakstone Publishing. Because I’m traveling to speak in California and later in Ohio, I’ll actually be in a hotel room in San Diego. So if you’d rather SEE and HEAR it live, shoot me an email […]

Shi**y Jobs Fertilize Future Prospects


Monday morning I keynoted the Georgia Assoc. for Home Health Agencies (GAHHA) annual meeting on St. Simons Island. During lunch, I had the chance to have great conversation with Kay Smith, RN. Kay and her husband Hal were co-recipients of  the Captain C. C. Dudley Award  for “outstanding leadership and dedication in pursuit of excellence in provision of Home Health services […]