The CERT report estimates percent of Medicare improper payments were caused by insufficient medical documentation and this is an ongoing trend . More than half is nothing to sneeze at,... Read More >
The Office of the National Coordinator for Health Information Technology ONC recognizes that conducting a risk assessment can be a challenging task. That s why ONC, in collaboration with the... Read More >
Copay amounts are too small to warrant the cost of collection attempts after the time of service. The solution? Collect copay before the patient receives services Remember the following four... Read More >
On January , CMS updated the Open Payments dataset to reflect changes to the data that took place since the last publication in June . Use the Open Payments Search... Read More >
The Office of Inspector General OIG of the Department of Health and Human Services has issued its Semiannual Report to Congress, which summarizes key program integrity efforts in fiscal year... Read More >
nbsp Medicare Preventive Services Educational Tool Revised A revised Medicare Preventive Services Educational Tool is available. Learn about HCPCS CPT and ICD- Codes Who is covered Frequency What the beneficiary... Read More >
Avoiding Modifier Abuse Guidelines for Healthcare Payers If you work for a healthcare payer and reimburse providers additional money for appending the modifier , you should be on the lookout... Read More >
Elements of Process Improvement .Recognize the current state of the practice .Define what plans must be in place to improve each state .Measure the systems that support the plans .Analyze... Read More >
The False Claims Act, U.S.C. et seq. FCA , continued to be a significant focus of government and whistleblower activity in . This Year in Review highlights several key developments,... Read More >
As mentioned in my last post, now is the time to conduct a financial review of your practice s financial performance. You should compare performance to your numbers and to... Read More >
You should be looking at and comparing the following benchmarks to the prior year for the practice and if applicable, by provider, and to the national surveys. Is your practice... Read More >
Business processes such as accounts payable, accounts receivable, payroll, and financial statement close are a standard part of day-to-day operations for healthcare organizations and generally are well-controlled. However, when significant... Read More >
The Physician Compare preview period is extended to January at pm ET. Preview your Quality Payment Program performance information before it will appear on Physician Compare profile pages and in... Read More >
To help you prepare for the performance year of the Merit-based Incentive Payment System MIPS , CMS has posted the following new resources to the Quality Payment Program Resource Library.... Read More >
Medicare pays Medicare Diabetes Prevention Program MDPP suppliers to furnish group-based intervention to at-risk Medicare beneficiaries Centers for Disease Control and Prevention CDC -approved National Diabetes Prevention Program curriculum Up... Read More >
Taxpayers born before generally must receive Required Minimum Distribution RMD payments from their Individual Retirement Arrangements IRAs and workplace retirement plans including Section k , b , and b plans... Read More >
A revised MLN Catalog – December 2018 is available. Learn about free: Products and services that can be downloaded Web-based training courses; some offer continuing education credits Helpful links, tools, and tips Read More >
The IRS reminds holiday shoppers to protect their tax and financial data from identity thieves. All it takes is a few extra steps to prevent cybercriminals from stealing sensitive data,... Read More >
You ve probably asked your CPA Can I deduct my health insurance? or, How can I reimburse my employees for health insurance premiums without triggering tax consequences? For physician practice... Read More >
The final performance period for the Value Modifier and Physician Quality Reporting System PQRS programs was and the final payment adjustment year is . Quality and Resource Use Reports QRURs... Read More >
Advanced Care Hospitalists PL ACH has agreed to pay , to the Office for Civil Rights OCR of the U.S. Department of Health and Human Services HHS and to adopt... Read More >
The individual tax changes as a result of tax reform can cut both ways. You may be familiar with the major deductions you are losing, but might be less familiar... Read More >
A revised Medicare Basics Commonly Used Acronyms Educational Tool is available. Learn about Acronyms frequently used in Medicare publications Webpage references for certain acronyms Creating a personalized list of the... Read More >
Excellent article by Healthcare Compliance Pros http www.healthcarecompliancepros.com On July th, the Centers for Medicare amp Medicaid Services CMS , released the Proposed Rule and made it available for comment.... Read More >
Allergy Associates of Hartford, P.C. Allergy Associates , has agreed to pay , to the Office for Civil Rights OCR at the U.S. Department of Health and Human Services HHS... Read More >
Note Many of these answers will apply to commercial payers as well If a physician sees a patient in the morning and again in the afternoon for a new or... Read More >
Ensuring Accurate -MISC Reporting for Medical Practices Each year, third party payers receive numerous requests from providers to make corrections to their miscellaneous income statement form -Misc . The majority... Read More >
Which cycle does your office currently have? Hint You better have the first one . More Active Cycle Once your practice determines the balance is the patient s responsibility Send... Read More >
Last week CMS released a letter to clinicia Optimize your CMS provider education strategy with insights from Reed Tinsley, CPA. Enhance reimbursement, compliance, and practice efficiency. ns outlining how the... Read More >
We all hear, read, and talk about physicians selling their medical practices to hospitals. And we all hear, read, and talk about the pros and cons of doing so. I... Read More >
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