FootZine

FootZine, Volume 23
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An Independent
Newsletter  for Podiatric Staff
from  Gayle S. Johnson, PMAC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Only three weeks!  The April 14 HIPAA deadline will probably overshadow even Tax Day in a lot of offices.  If you are uncertain about the preparations you're making, there are many resources available to you.  The APMA HIPAA Compliance Manual (which APMA members can download at no charge from the members-only area of the APMA web site) is a logical place to start.   FootZine's "Links" page has links to take you directly to APMA; or CMS (the HIPAA people); or NJHIPAA, a great web site that can link you to informative articles or to other HIPAA  resources.  Start here:  http://www.footzine.com/FZ_3.htm

FootZine's web site also has a substantial archive of HIPAA articles and FAQs provided by Raymond F. Posa, MBA.  Here's the link to start reviewing all of Ray's information:
http://www.footzine.com/FZ_H.htm

~  Gayle

*_*    Letters   *_*

From:  Heather Schafer, PMAC
re:      Office Morale

Gayle -

As our office continues to grow I have a question to throw out to the subscribers. We have three doctors and three separate offices.  Our offices are all about 20-40 miles apart from each other.  I have eleven employees and spend a majority of my time in only one of the offices....the office that the billing is done out of (which is also my job in addition to being the clinic manager).

The other two offices (since we do not yet have a computer system that links us together) seem to always get the impression that they are "only the satellite offices" and they are for some reason "less important".  Despite weeding out some negative employees, it still always gravitates back to them feeling less "loved" than our other office.  We have a wonderful team of employees now, however one is "starting" to portray that "negative vibe"......and I want to nip this in the bud before the entire crew is infected....

We have monthly staff meetings with all three offices to troubleshoot and share ideas, we fax and phone with questions, ideas, policy's and complaints, etc.  All staff are recognized and noticed when a good job is done and they are definitely appreciated.

My question to you is, is anyone else out there in a similar situation?  Is anyone else left with the feeling like you can't always be in three places at once and how can you possibly make everyone feel equally as important and still get your own job done..... How do you handle the "neglected" office as a manager?  Please give me some input/ideas etc.
Thanks!

Heather
Heather Schafer, PMAC
Anacortes, WA

*_*    *_*    *_*

From:  Heather Schafer, PMAC
re:      Electronic Billing Systems

Also.....Just wondering what types of computer systems everyone are using....We currently have Vital Works - Wisdom and are very unhappy with the support (or lack thereof) that they have provided to us.  We have looked at Horizon and MediSoft.  Anyone else have any ideas or leads I could check out ?!  Thanks, Gayle, for a WONDERFUL service that you provide for us! :-)

Heather


*_*   "If you have knowledge, let others light their candles at it."   -  Margaret Fuller (1810 - 1850)   *_*


*_*     Calendar    *_*

April 25-27, 2003
WSPMA/WSPMAA Annual State Meeting
Quinault Beach Resort & Casino in Ocean Shores, WA.
ASPMA Certification Exam will be offered.

*_*    *_*    *_*

Region Three Assistants' Program
* May 14, 15, 2003  (Wednesday and Thursday)
* Taj Mahal Resort and Casino, Atlantic City, NJ

Two days and eleven speakers for podiatric assistants, with the final speaker being - -You!  See the full schedule via the link on the FootZine Calendar page.

The FootZine Calendar is posted on http://www.footzine.com/FZ_4.htm


*_* FootZine Feeture Article *_*

     Coding Made Crystal Clear   
By Phillip E.Ward, DPM

Often in podiatric surgery it is necessary to release a contracture at a metatarsophalangeal joint.  This procedure should be coded as a 28270 (capsulotomy, MTPJ with or without tenorrhapathy, RVU office 14.13).  If this procedure is done in conjunction with a hammertoe repair (28285, RVU office 13.99) the MTPJ release can be separately coded, as these two procedures are not bundled together in the Correct Coding Initiative.  Most insurance companies will attempt to bundle them together so you should appeal this decision with the CCI as your factual base that they are not bundled together.   The correct way to code the procedures would be as follows:
        28270-59 diagnosis of contracted joint 718.47
        28285-Tmodifier-59 diagnosis of hammertoe 735.4

This type of improper bundling by insurance companies should always be appealed, as you will win this appeal most of the time.

Crystal-Clear Coding tips are posted on the FootZine web site on this page:
http://www.footzine.com/FZ_C.htm

*_*     *_*    *_*

Now that we're into the spring meeting season, I hope to get some new photos to share on the FootZine site's "Picture Page".   Please keep us in mind if you're taking photos of interesting or special happenings at podiatry meetings around the country.  Email them to me and let's try to give you all a look at each other!  
http://home.attbi.com/~gaylepmac/GSJ-web_8.htm

A wise woman has told me: "I try not to worry about things I can't change.  If it really can't be changed, worry won't accomplish anything.  If it's something I can change, instead of worrying about it, I try to just go ahead and take care of it.  So there's no need to worry."

Don't forget to write!

~ Gayle

*_*    *_*    *_*

Copyright 2003 Gayle S. Johnson, PMAC All Rights Reserved.
DISCLAIMER: Acceptance and publication of any letter, article, news item or advertisement does not necessarily constitute or imply approval or endorsement by myself of the product, idea, or content therein. I reserve the right to edit or to not publish any material received.  Any letters published are the property of FootZine.  Any health- or legal- and financial- related information is for educational purposes only and should not be construed as medical, legal or financial advice, or a substitute for the advice of a healthcare professional, attorney, financial advisor or any other consultant or professional. Information pertaining to legal matters should not perceived as legal advice, nor should discussion about such issues as Medicare, coding, and billing be considered as definitive. All content is presented as being only the opinions of the contributors and is for educational purposes only.

To Subscribe or Unsubscribe, simply send an email request to me at: gaylejohnson@footzine.com

Gayle S. Johnson, PMAC

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