Monday, December 30, 2013

Year in review for the IU

It was a great year professionally.  My practice grew substantially. 

I added over 1000 new patients.  
I did almost 300 vasectomies. 
I upgraded my office procedure room substantially. 
I invested in a high quality, high optics OR microscope.  
I started a microsurgical training lab. 
I did 10 vasectomy reversal surgeries in the office.  
I was elevated to the board of directors of my IPA
I upgraded my andrology lab.   
I enhanced my offices electronic infrastructure. 
I streamlined check in, check out, and billing processes.  
I successfully enhanced my office to be compliant under Omnibus HIPAA. 

And more.  All in all a good year.  Personally I mourned the loss of my father but thanks to my family and friends, I got though it.  
Here's to 2014. 
The IU

Thursday, December 12, 2013

I am looking for beta testers for my ICD-10 search program. Contact me now.

For a limited time, I will be giving away for free the ICD-10 search program I developed.  Why?  I need beta testers.

If you are interested, please complete the form: 

Dr Schoor

Monday, December 09, 2013

Dude, my ICD-10 Search Program Totally Works.

It works.  And it works well.
Shout out to my programmer.  Nice job Ben Barret.

I am looking for beta-testers.  Please contact me if you are interested.  Use this email:

Dr Schoor

Sunday, December 08, 2013

5 things you should do today to advance your practice

1: post to your blog (don't have one, start one). 
2: learn 2 things about ICD10
3: write a script for a 2 minute video
4: post to your Facebook practice page (don't have, get)
5: set one professional goal to accomplish by end of year

You ready.   Go.  

Monday, December 02, 2013

From the Official ICD-10 Rule book

P. Encounters for general medical examinations with abnormal findings
The subcategories for encounters for general medical examinations, Z00.0-, provide codes for with and without abnormal findings. Should a general medical examination result in an abnormal finding, the code for general medical examination with
ICD-10-CM Official Guidelines for Coding and Reporting
Page 105 of 117
abnormal finding should be assigned as the first-listed diagnosis. A secondary code for the abnormal finding should also be coded. 

For example: patient is referred to me, the urologist, with an elevated PSA.

Problem With No-Shows? Try An ACP approach.

No shows can cost a practices thousands of dollars in lost revenue.  People no show for a variety of reasons but the most common is that they simply forget.  When ever your no show rate exceeds 10% for any given day, your confirmation process did not work.  Happens to me as well.

In November I started a new approach to no shows.  I call it the the ACP--Aggressive Confirmation Protocol.  My no-show rates has since plummeted to essentially zero.

Here's how it works:

  • Monday and Tuesday confirmation begin to happen on Wednesday of the previous week and continue through Friday evening. 
  • Tuesday continues through Monday.
  • Wednesday starts Monday and continues through Tuesday.
  • Thursday starts Monday and continues through Wednesday.
  • Friday starts Tuesday and continues through Friday. 
Confirmations attempts come by phone and elecronic communication.
We don't stop until we get a live person.  

A bit aggressive?  Yes.
Potentially annoying to clients?  Maybe.
Effective at reducing no shows?  Absolutely.  
Expensive?  Nope. 

Try it out and let me know how it goes.

The IU.