Text Box: Med Management Quarterly

April 2008

INSURANCE ISSUES

Effective March 1, 2008 Palmetto GBA began rejecting claims that contained ONLY a PTAN in the billing and rendering provider fields (Also called “primary provider fields).

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CLINICAL COMMUNICATIONS

                                                    Jan Howard  Practice Management Consultant

What is an Influenza Pandemic?

A pandemic flu is one that causes a global outbreak.  This occurs when humans are exposed to a new influenza A virus for which there is little or no immunity in the human population.  The virus causes serious illness and then spreads easily from person to person worldwide.

What should we do?

For starters, we need to ensure that we protect our healthcare workers by establishing infection control principles that minimize or prevent the spread of pandemic influenza in the medical office setting.  The responsibility lies with the physicians, nurses and all employees that are in contact with the public                                                                                          

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CREDENTIALING

 

Machelle Giordon Credentialing Specialist

           The May 23rd, 2008 compliance date to submit NPI only is here.   Some providers are still experiencing problems submitting claims. If you have multiple PTANs on file (this is common for providers that have multiple locations) and we are unable to link the NPI to the appropriate PTAN, Palmetto GBA will request additional information from you in order to process your claims. These requests may cause delays in processing your claims.

              For the answers to these questions, click here:  Read More


OFFICE TIPS

 

Staff Meeting Reminders:

  • Time limit (Never more than 1 hour)
  • List of attendees (important for evaluations to identify staff’s interest in the practice)
  • Do not include physicians at every meeting (The staff will not always speak freely)

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EVENT SCHEDULE

Local P.A.H.C.O.M. chapters from Akron and Cleveland would like to invite you to network with other professionals and learn some valuable tips from their speakers. 

 

Meetings for both groups can be found on the O'Sullivan Consulting Group website by clicking below.

 

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PRACTICE MANAGEMENT

                                                                         Pat O'Sullivan President

        The April 8Th issue of the Cleveland Plain Dealer had an article which caught my attention.  The article was written by Diane Suchetka and was directed to us as patients communicating with “our doctors”.  Ms. Suchetka told a story of her experiences however, her own internist “makes me feel as if I am the only patient he has”.  We, as patients, have a hard time focusing “on what a doctor is saying when we’re fuming over another 90-minute wait”.  Isn’t it sad that very often what patients remember about their visit to the doctor’s office is negative?  Ask a group of friends over coffee - have you ever had a “bad” experience in a doctor’s office?  First, after they laugh and say “of course!” ask them for stories.  Sometimes they will be about the physician (or other professional) and sometimes it will be about the billing problems, staff, office environment, and on and on. 

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