Practice Management

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Another Medicare physicians' pay cut, this one an estimated 5.4%, is in the offing for 2009 as well as rule changes affecting the ability of urologists to provide diagnostic tests for their patients without running afoul of federal physician self-referral and anti-markup prohibitions.

In its 103rd installment, the AUA annual meeting introduced urologists to interesting research about relationships between urologic conditions and other significant health issues. The annual take-home messages are presented here.

The cumulative effect of annual efforts to slash Medicare payment rates, the resulting miniscule fee payment updates, and continuously increasing costs is taking its toll. What happens if Congress fails to come to the rescue and that 10.6% cut takes effect?

Physicians often fall short in patient interactions: asking questions, listening carefully, or observing. Often, this can affect their ability to solve clinical puzzles.

In an attempt to remedy the pressures associated with insurance claims reimbursement for physician services, the American Medical Association has launched the Cure for Claims campaign simultaneously with its first National Health Insurer Report Card on claims processing.

The American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) has developed new procedural standards intended for ambulatory facilities performing procedures under sedation, which includes those performed by urologists.

The first rule to implementing effective practice-building strategies is to carefully examine different approaches and do what you believe in and feel confident about doing. Most urology practices find their greatest success in building from the inside out. That means looking at what is working and taking it to the next level.

A new Medicare audit program set for national rollout will require you to learn the details of current rules, be aggressive in charging for all services according to the rules, and be prepared to pay back some money in the future for any overpayment.

Poor communication skills are a frequently cited factor in a patient's decision to leave a practice or even pursue a malpractice claim against a physician.

Evaluate your existing contracts, re-negotiate them from a position of strength, decide which contracts to drop, and collect the out-of-network fee from your patients for those dropped contracts.