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 >
Online reviews are the new word of mouth. They play a significant role in how patients ultimately find and choose your physician practice. I m finding that healthcare professionals that... Read More >
There seems to be a lot of confusion that the E M codes and levels are changing in . This is NOT accurate. The changes to the levels of E... Read More >
The Centers for Medicare and Medicaid Services CMS issued its policies for Year of the Quality Payment Program via the Medicare Physician Fee Schedule PFS Final Rule. The provisions in... Read More >
The Office of the Inspector General OIG reports that Medicare is vulnerable to fraud, waste, and abuse for wet Age-related Macular Degeneration wet AMD and cataracts Administration of Lucentis injections... Read More >
Unfortunately, it s much easier to cut down on expenses than it is to increase profits. But that doesn t mean your practice must cut jobs or benefits to improve... Read More >
Great article by the Coker Group Coker Group Website https cokergroup.com Preparing for entails developing budgets, sales objectives, and other forward-thinking activities. Another critical action to consider is your organization... Read More >
A revised Items and Services Not Covered under Medicare Booklet is available. Learn about: Four categories not covered under Medicare Applicable exceptions Read More >
Contracts, manuals amp fee schedules, where are they Oh, my Determine payor contract contact Determine if reimbursement is based on RBRVS or compare to Medicare Determination of any billing concerns... Read More >
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