Physician office potential lost revenue opportunites Part 2
Here are some other ideas to consider Missed chart notes. Sometimes things get busy and healthcare staff cannot keep up on their paperwork. A week goes by, and then a... Read More >
Physician office potential lost revenue opportunities Part 1
You practice cannot afford to not to identify areas of potential lost revenue. This and future blog posts will explore some areas you may want to take a look at.... Read More >
CMS Proposes Historic Changes to Modernize Medicare – Can This Really Happen?
On July , CMS proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork... Read More >
Do you have a taxable estate? If no, consider basis-building tax strategy
Since the new tax law increased the estate tax exclusion to million dollars, indexed for inflation, taxable estates will continue to decline. As such, if you do not expect to... Read More >
Now Available: MIPS 2019 Payment Adjustment Fact Sheet
CMS has posted an additional resource on CMS.gov to help eligible clinicians and groups understand their Merit-based Incentive Payment System MIPS payment adjustment based on their performance. The MIPS Payment... Read More >
Medicare non-covered services
nbsp Medicare does not cover items and services that are not reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of... Read More >
NSCHBC 2017 Statistics Report is Available
Each year the National Society of Certified Healthcare Business Consultants surveys its members and compiles a Statistics Report on Medical and Dental Income and Expense Averages. Get a copy of... Read More >
2016 CMS Program Statistics
CMS Program Statistics are available, including detailed summary statistics on Medicare populations, utilization, and expenditures, as well as counts for Medicare-certified institutional and non-institutional providers. Tables for calendar years to... Read More >
Examples of employee corruption
Are you a victim of these types of employee activities? Payroll and ghost employees Ghost employees are individuals who receive paychecks but do not exist, or exist but are not... Read More >
Quality Payment Program Look-Up Tool Updated
CMS updated the Quality Payment Program Look-Up Tool with Merit-based Incentive Payment System MIPS eligibility and Qualifying Alternative Payment Model APM Participant QP data. Clinicians, enter your National Provider Identifier... Read More >
HIPAA Update on Enforcement
At the HCCA Compliance Institute HIPAA Policy and Enforcement Update, it was reported that since September through the end of there were reports filed with the HHS OCR involving breaches... Read More >
Tips for avoiding identity theft
The IRS never initiates correspondence via email. Do not click on any links, open or respond to any email that claims to be from the IRS, Install and maintain a... Read More >
Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Web-based Training
A revised Avoiding Medicare Fraud amp Abuse A Roadmap for Physicians Web-Based Training course is available through the Learning Management System Opens in a new window . Learn about Three... Read More >
Hiring a new receptionist for your physician office
Your practice is looking for a new medical office receptionist So what are some of the elements I should include in the job description? The job description you decide on... Read More >
Healthcare compliance enforcement is “full steam ahead”
The American Health Laywers Association reports that the Department of Health and Human Services Office of Inspector General OIG expects investigative recoveries of . billion for the first half of... Read More >
New Medicare Card: MBI Look-up Tool via MAC
All Medicare Administrative Contractor MAC secure portal Medicare Beneficiary Identifier MBI look-up tools are ready for use. If you don t already have access, sign up for your MAC s... Read More >
Base Medical Coder Job Description on These Traits
When visiting a client s office, I found out the office manager was in the process of hiring a new full-time medical coder and had been tasked with writing job... Read More >
MIPS Preliminary Performance Feedback Data Is Available
If you submitted Merit-based Incentive Payment System MIPS data through the Quality Payment Program website, you can review your preliminary performance feedback. Please note this is not your MIPS final... Read More >
Mind This Advice if Eligibility Denials Are All Too Common
Patients who are ineligible for benefits that you thought they had are a potential headache for every medical practice. In fact, some experts say it s the most common billing... Read More >
Provider Minute Video: Importance of Proper Documentation
Why is proper documentation important to you and your patients? Find out how it affects items services, claim payment, and medical review in the Provider Minute The Importance of Proper... Read More >
DOJ Confirms Active โNo-Poachingโ Criminal Investigations in Healthcare and Other Industries
The Antitrust Division at the US Department of Justice DOJ publicly acknowledged once again last week that active criminal investigations involving no-poaching agreements are underway. The most recent statement clarifies... Read More >
How make sure your petty cash is safe
Have Accounts Payable, Accounting, Finance or Personnel handle the petty cash box. Keep the key in a location known only to you and perhaps one other employee. Put it where... Read More >
Ophthalmology Services: Questionable Billing & Improper Payments
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 >
Another doctor gets in trouble with the government – good grief!
A Texas doctor was arrested Monday on charges he led a million health care fraud and money laundering scheme in which he falsely diagnosed patients with degenerative diseases and gave... Read More >
Reporting Changes in Ownership โ Reminder
A Office of the Inspector General OIG report noted that providers may not be informing CMS of ownership changes. Providers must update their enrollment information to reflect changes in ownership... Read More >
Want to sell your medical practice?
We can help! Please visit: https://tinsleymedicalpracticebrokers.com/ Medical Practice Brokers Read More >
How the Employer Credit for Family and Medical Leave Benefits Employers
This post focuses on educating employers about the employer credit for paid family and medical leave created by the Tax Cuts and Jobs Act passed last year. Employers may claim... Read More >
Ophthalmologists incorrectly reporting HCPCS codes G9890 and G9891 on Medicare claims
nbsp CMS Medicare recently found that some ophthalmologists are reporting G and G in error for services after , causing claims to deny. These codes were deleted and reissued with... Read More >
Creating a physician office “operations” manual
Businesses of all sizes are constantly trying to streamline operations so they can spend less money while improving productivity. And while it may not always seem like it, your practice... Read More >
Nevada cardiovascular surgical practice agrees to pay $1.5 million to resolve False Claims Act allegations
A Las Vegas-based cardiovascular surgical practice agreed to pay . million to resolve False Claims Act allegations that the organization overbilled federal health care programs including Medicaid and also billed... Read More >
Subscribe to my blog
Categories
Accounting and Tax Services Litigation Support Managed Care Consulting Managed Care Contract Negotiations Medical Practice and Healthcare Entity Valuation Medical Practice Assessment Medical Practice Brokerage Medical Practice Embezzlement Consulting Medical Practice Management Medical Practice Merger Advice Medical Strategic Planning Newsletter Personal Financial Planning Oversight Physician Compensation Models Physician Compliance Physician Financial Management Services Retirement UncategorizedAbout Reed Tinsley, CPA
As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read More >
