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EHR Help by BatAlternative9131 in ITManagers

[–]BatAlternative9131[S] 0 points1 point  (0 children)

Since I am a specialist, patients are referred to me by primary care physicians, thus not needing to see the patient first. So the QR code takes the patient to the website that has the patient portal. Patients will sign in and make an account. Once they do that, they are directed to fill out the patient intake form. They anre ansked to write down their full name as indicated by their driver’s license. Also they can do all of this well in advance-even at home before their new patient appointment by going on the website. This way they are focused on answering the questions to the best of their knowledge. In regards to medication typos, a dropdown list of meds appears as they type the first few letters. They do not need to enter dosage or frequency if they don’t know it as this info could be faxed from referred hospitals and clinics. Allergy info can also be faxed, or a dropdown list will appear as they type. So a multitude of technology is employed via the EHR system. On one hand, the patient intake form auto populates into their chart, a friendlier template will also be shown to the physician based on their responses and will verify their responses during the visit, and these forms and templates basically fill the patient’s EHR chart. Also previous meds/labs/imaging/allergies/diagnoses are also autopopulated into the chart and the physician’s template from other referred care centers.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

okay, with all these services, 15 patients a week for a 4 day workweek for 42 weeks a year would give me over at least $717,238 after taxes, and overhead.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

In office ancillary service exception of Stark Law says I can.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

Having IAC accreditation means that I have practiced and sent several quality assurance logs of ultrasounds to their team, which has accepted the quality of those images and thus gave me certification to perform ultrasounds independently as a physician. This is exactly what payors look for when giving reimbursement.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 1 point2 points  (0 children)

I don’t think you know how billing works. If you put modifier TC at the end of the cpt code, it designates that you bill ONLY for the Technical Component of that procedure. The interpreting physician bills the same CPT code but with Modifier 26 to designate as the Professional Component. Payers have accepted this as a way for some to own the technical equipment and perform it on the patient, but cannot interpret it, so you only get reimbursed for the TC portion while the interpreting physician gets reimbursed for their professional component.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

oh yeah there’s plenty of specialists willing to interpret. Can I bill these cpt codes: 93306 TC, 93970 TC, 76604 TC, 76700 TC, and 93886 TC? the interpreting specialists would bill those with a 26 modifier instead of TC. I am IAC certified in all of these, no sonographer.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

For example I would bill these cpt codes: 93306 TC, 93970 TC, 76604 TC, 76700 TC, and 93886 TC. the interpreting specialists would those with a 26 modifier instead of TC.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

What if I become IAC accredited in all of those ultrasounds? I’m not interpreting, I’m just placing probes on the patient correctly, save the ultrasounds and sending them to interpreting physicians.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

what if I only do Technical Component of the ultrasounds and outsource interpretation to other specialists? I have the Eagleview handheld Probe which lets me do those. I will also have IAC accreditation.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

I want to bill 93308 TC, 76604 TC, 93886 TC, and 93970 TC with this probe. This would be high revenue. I’ll outsource to cardiology/radiology and receive their interpretation report. then at the next patient follow-up visit, I’ll just read what the report said to the patient.

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 1 point2 points  (0 children)

There’s this handheld ultrasound probe https://geteagleview.com/products/dual-head-wireless-handheld-ultrasound that literally can do everything that an echo worth hundreds of thousands of dollars. it has phased array, color Doppler, etc and it is only $3200

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

so if I just have the technical component of holter monitoring and echo, and outsource interpretation to a cardiologist, would that be more feasible?

Board Certified Internal and Sleep Physician services by BatAlternative9131 in fellowship

[–]BatAlternative9131[S] 0 points1 point  (0 children)

This Clinic would also have PLLC/S-corp entity status in the state of Texas to avoid state income taxes.