optimalcoder.com

Optimal Coder

We want your practice to thrive financially. We want you to code OPTIMALLY at each encounter for the highest allowable reimbursement based on your patients’ presenting problem(s). We want you to get all the Level 4 outpatient established visits (99214) that you are entitled to:. Choosing the best- the highest-CPT code for the encounter. Appropriately documenting the chosen CPT code according to CMS regulations. Most FPs and Internists under value their cognitive services. Was developed by ROBERT CLOUSE M...

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We want your practice to thrive financially. We want you to code OPTIMALLY at each encounter for the highest allowable reimbursement based on your patients’ presenting problem(s). We want you to get all the Level 4 outpatient established visits (99214) that you are entitled to:. Choosing the best- the highest-CPT code for the encounter. Appropriately documenting the chosen CPT code according to CMS regulations. Most FPs and Internists under value their cognitive services. Was developed by ROBERT CLOUSE M...

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Optimal Coder | optimalcoder.com Reviews

https://optimalcoder.com

We want your practice to thrive financially. We want you to code OPTIMALLY at each encounter for the highest allowable reimbursement based on your patients’ presenting problem(s). We want you to get all the Level 4 outpatient established visits (99214) that you are entitled to:. Choosing the best- the highest-CPT code for the encounter. Appropriately documenting the chosen CPT code according to CMS regulations. Most FPs and Internists under value their cognitive services. Was developed by ROBERT CLOUSE M...

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optimalcoder.com

1

Optimal Coder

http://www.optimalcoder.com/providers.htm

Most providers undervalue their cognitive services (E/M services). Most providers have received little, if any, formal teaching on E/M coding. The difference between 99213 and 99214 (level 3 and 4 OP est. visit) is $30-40 depending on the payer. On just 2 under-coded visits a day is $11,520/yr. 3000 X 2/d X 4 d/wk X 48 wk/yr). Learn a simple, intuitive technique to ETHICALLY choose the highest level CPT code which is appropriate for your patient’s visit, ( OPTIMAL CODING.

2

Optimal Coder

http://www.optimalcoder.com/dvd.htm

DVD of Dr. Clouse’s OPTIMAL CODING. TUTORIAL lecture - $400.00. Clearly and concisely explains how to choose the OPTIMAL CPT code within the first few minutes of the patient encounter. 90 minutes in length. ORDER HERE. Explains how to use the OPTIMAL CODER. Chart for maximum reimbursement and correct documentation. After studying this presentation, most clinicians will understand how to code OPTIMALLY and CORRECTLY. Understand Dr. Clouse’s 5 Step METHOD of OPTIMAL CODING. Step 3: Choose the CPT Code.

3

Optimal Coder

http://www.optimalcoder.com/faq.htm

Q - Who developed the 1995 and 1997 guidelines? A HCFA (now CMS) in collaboration with the AMA’s CPT EDITORIAL PANEL. Q When can we expect new guidelines? A There is no current activity by the committee on new guidelines. Q What is likely to trigger an OIG audit? Q Should I code low or about the same as everyone else just to be safe? A In that case you are likely to be depriving your practice of the revenue you fairly deserve for work you have done. Q What about compliance plans? A - Yes, follow this link.

4

Optimal Coder

http://www.optimalcoder.com/products.htm

For a 7 minute video with more information. Using 1997 E/M Guidelines helps the clinician choose the OPTIMAL ( highest, best) CPT code for the encounter based on:. RISK (How sick is the patient? What is the potential for serious problems in the differential diagnosis? DIAGNOSIS (How many of the patient's problems are you addressing at this visit? Are they stable or worse? RISK and DIAGNOSIS determine Complexity of Medical Decision Making (CMDM). CMDM determines the OPTIMAL CPT code for the encounter.

5

Optimal Coder

http://www.optimalcoder.com/aboutus.htm

Robert Clouse, MD. Graduated cum laude from University of Michigan Medical School 1974 with MD degree. Elected to Alpha Omega Alpha Honor medical Society at U of M Medical School. Family Practice Residency in Grand Rapids MI 1974-1977. Family Practitioner in Fremont MI, 1977 to 2007, 22 years as treasurer of a 22-member multi-specialty group. Consultant on E/M Coding and national speaker on Optimal E/M Coding since 2002. Teaches E/M Coding at Central Michigan University Physicians Assistants Program.

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We want your practice to thrive financially. We want you to code OPTIMALLY at each encounter for the highest allowable reimbursement based on your patients’ presenting problem(s). We want you to get all the Level 4 outpatient established visits (99214) that you are entitled to:. Choosing the best- the highest-CPT code for the encounter. Appropriately documenting the chosen CPT code according to CMS regulations. Most FPs and Internists under value their cognitive services. Was developed by ROBERT CLOUSE M...

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