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Group Visits Increase Billing Revenue and Improve Quality of Care

Health Insurance Companies Process 1 in 5 Claims Wrong

Increase Revenue with Group Visits

Patient expectations are rising and payors and regulators are demanding increased documentation and strict compliance with a rapidly expanding cadre of clinical practice guidelines. If you’re looking for a way to streamline processes, increase revenue and improve patient care, consider group visits.

Group visits, sometimes called shared medical appointments, provide an opportunity to increase capacity, and at the same educate patients and empower them to take active roles in the management of their health. Consider group visits for patients who have chronic conditions such as diabetes, tobacco dependence, COPD, arthritis or heart disease.

Group visits, which typically last 90 minutes to two hours, include a group educational session, plus one-on-one medical evaluations conducted by a physician or nurse practitioner. During the evaluations, the provider should clarify the assessment and discuss and document appropriate treatment.

Many providers have found that the most successful strategy for billing for group visits is to code them as individual office visits using CPT codes 99212 to 99214, based on the level of complexity of the individual visits.

Group visits are both efficient and effective. Physicians and patients report higher satisfaction, and studies have shown that these shared medical appointments lead to improved health behaviors.

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

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Capture Billing helps medical practices by reducing their insurance accounts receivable and getting claims paid faster, allowing doctors to focus on providing quality healthcare to their patients without the stress of doing their own medical billing.

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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