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Volume 6 Issue 2 April 2013
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Always FREE to the Job Seeker!
Practice opportunities are available in almost every region of the country.
New opportunities arise every week or two and are posted on our web site
www.farrhealthcare.com
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Inpatient/outpatient opportunities in:
AL, AR, AZ, DC, FL, GA, IA, IL, KS, KY, MD, MN, MO, MT, NC, NV, OH, OK,
PA, RI, SC, TX, WI, WY
Medical Director, Rehab opportunities in:
IA, KS, MD, MN, MT, PA, RI, TX, WY
Interventional pain management opportunities in:
DC, MN, PA, SC, TX
Outpatient opportunities in:
AR, AZ, DC, FL, IA, IL, MN, NC, NJ, NY, OR, PA, SC, TX, WA, WI
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Medical Director, TBI, Sports Medicine and subacute opportunities in:
KS
SCI opportunities in KS and MO
Palliative care opportunity in DC
Practice Purchase in NV
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As a thank you, Farr Healthcare, Inc. continues its referral bonus program. Any doctors you refer to me for a particular opportunity who ultimately start work at that opportunity, Farr Healthcare, Inc. will provide you with a $1,000 as a thank you. I look forward to hearing from you.
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HOW LONG DOES IT TAKE? by Linda Farr
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I’m often asked how long it takes to find a position or a doctor. It depends on a variety of factors. Sometimes, you can find a new position in a few months and at other times, it may take up to a year or longer. A recent scenario that took a year involved a NJ doctor who had not practiced since residency which was a few years ago and wanted to re-enter the job market as her children were now a few years old. It took a year for her to obtain a NJ license. Here are some other real-life situations:
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Scenario 1
2/26/12 An interventional doctor who is completing a fellowship provides me with his curriculum vitae which I present to the FL practice looking for a new doctor.
3/5/12 The doctor visits the practice as he happens to be in the area.
3/11/12 The doctor visits the practice a second time. He is offered a contract of $300,000 plus 40% of ancillary service income with a 2% increase annually for 5 years and then 50% of ancillary service income from 5 years on.
3/12/12 The doctor is waiting on another offer.
3/18/12 The doctor verbally accepts the offer from the FL practice.
3/28/12 The doctor signs and returns the contract.
Scenario 2
10/8/11 A 6/30/12 residency graduate provides me with her curriculum vitae to present to a MI practice.
11/1/11 The residency graduate informs me that she’s favoring other opportunities.
12/1/11 The practice contacts the residency graduate and offers her a visit.
12/30/11 The residency graduate interviews with the practice.
1/7/12 The residency graduate and the practice talk about contract terms. It is a positive discussion.
1/14/12 The practice emails the residency graduate that it will get the final employment agreement to her in the next couple of weeks.
2/3/12 The residency graduate signs the contract. |
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CPT Code Changes Effective January 1, 2013 for Nerve Conduction Studies
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As of January 1, 2013, Medicare reimbursements for the Nerve Conduction Studies (NCS) portion of EMG testing have been drastically reduced. The old CPT codes 95900, 95903, 95904, 95934 & 95936 have been deleted. The following new CPT codes have replaced them:
95907 1 or 2 NCS
95908 3 or 4 NCS
95909 5 or 6 NCS
95910 7 or 8 NCS
95911 9 or 10 NCS
95912 11 or 12 NCS
95913 more than 12 NCS
The new codes make no distinction among the Nerve Conduction Studies (NCS) codes.For instance, previously for the NCS portion of the EMG test, the physician might have billed 2 x 95900 + 2 x 95904 + 2 x 95934. But as of January 1, 2013, since the total number of NCS is six (2 x 95900 + 2 x 95904 + 2 x 95934), the current billing would be 1 x 95909. Although the coding is extremely simplified, there is bad news regarding the reimbursement – it is much lower, as demonstrated below:
EXAMPLE # 1
This example compares 2012 & 2013 coding & reimbursement by NJ Medicare for a one extremity EMG & six NCS.
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2012 2013 |
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Coding Reimb Coding Reimb |
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1 x 95886 95 1 x 95886 93 |
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2 x 95900 142 |
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2 x 95904 126 1 x 95909 152 |
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2 x 95934 134 |
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Total Reim 497 245 |
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EXAMPLE # 2
This example compares 2012 & 2013 coding & reimbursement by NJ Medicare for a one extremity EMG & eight NCS.
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2012 2013
Coding Reimb Coding Reimb |
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1 x 95886 95 1 x 95886 93 |
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3 x 95900 213 |
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3 x 95904 189 1 x 95910 200 |
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2 x 95934 134 |
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Total Reim 631 293 |
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Contributed by Bruno Stillo, President, Physiatry Billing Specialists, 800-835-4482, [email protected] |
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Rehab Clinical Pocket Guide: Rehabilitation Medicine
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Dr. Kimberly Sackheim has written a unique and comprehensive book that
provides all the clinical material needed to properly treat patients and
excel in the field of Physical Medicine and Rehabilitation. It was
written to benefit the daily practice of students, residents, fellows,
and attendings in rehabilitation medicine. According to Dr. Sackheim, no
other clinically-based pocket-guide publication on the market today is
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