Amber,
I could have you chat with our office manager, and she could tell you a bit more detail about rejections, but off hand I cannot think of any problematic ones. Reimbursement rates are fine.
I do one note on all patients whether just an annual or annual with 25 modifier so for instance a typical medicare patient with diabetes, hypertension and hypercholesterolemia will be treated as follows.
He will have a portal, hopefully, fill out his medicare wellness survey on his computer and send in before visit or fill out at visit during intake. (working on getting more to fill out on computer). He will have had his labs drawn, sent to his portal 3-5 days before visit, looked up results and compared to last years results.
He checks in and my nurse will do up and go test, vision screening and disuss the POLST form. I print out a med list and continuity care document, BP's and weights graphed out and any pertinent change in labs, then go into exam room.
Do my thing go over PMHx, meds, all social family ROS preventative stuff, exam and get a list of other docs.
I can generally get through everything and with templates and dragon have my note done, everything billed, with the quick billing in AC and print up super bill and have summary sent to smart phone or computer as they are driving home.
AC/Updox has been a tremendous tool to make this encounter satisfactory for most patients, as I can spend most time looking them in the eye and listening, as I take notes on a printed up previous note with all their pertinent history in the exam room as well. Will send any e-orders to my nurse, e-scripts, or educational material on my in exam room printers by using my chromebook remoted to my "terminal server".
