CMS Reveals New Medicare Card Design
The Centers for Medicare amp Medicaid Services CMS gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly-assigned number that... Read More >
2016 PQRS Feedback Reports and Annual QRURs Available
The Physician Quality Reporting System PQRS Feedback Reports and Annual Quality and Resource Use Reports QRURs are now available PQRS Feedback Reports provide program results for , including if you... Read More >
Accuracy Matters – Top CPT Modifiers of Concern Medicare
nbsp Accuracy matters I recently saw where Novitas Medicare Intermediary receives nearly . million requests from Part B providers each year to correct minor errors or omissions of claim-specific information,... Read More >
2018 Physician Quality Reporting System (PQRS) Downward Payment Adjustment Notification Coming Soon
The Centers for Medicare amp Medicaid Services CMS will soon begin distributing letters to Physician Quality Reporting System PQRS individual eligible professionals EPs , EPs providing services at a Critical... Read More >
Ex-IT Worker Gets 2.25 Years For Clinic Hack
A -year-old Texas man was sentenced to months in prison Wednesday for hacking into the servers of a medical clinic where he lost his information technology job and buying merchandise... Read More >
General billing questions – Medicare inpatient visits
nbsp What does the physician bill when admitting a patient as an inpatient from observation? Medicare payment for the initial hospital visit includes all services provided to the patient on... Read More >
Piecemeal physician practice consolidation hampers antitrust intervention
From Becker s Hospital Review Physician practice consolidation evades federal agencies attempts to address antitrust concerns because it occurs largely through small acquisitions or individual hires, according to a study... Read More >
Ultrasound Services Company Was a Personal Service Corp
A husband and wife owned a C corporation that provided ultrasound services to medical offices and clinics throughout southern Colorado. For the years at issue, the corporation calculated its tax... Read More >
Medicare claim submission/reason code errors for July 2017 by Novitas
nbsp Explanation of Medicare Benefits Message Description Resolution Non-covered charge. Prior to performing or billing a service, ensure that the service is covered under Medicare. Please refer to the Centers... Read More >
Do you have business interruption service in place
nbsp From Physician News Digest Torrential rains flood a city and force a hospital to evacuate all patients and shut down for a week. An internist cannot get to her... Read More >
MGMA Survey – Practices fall short on customer service
From FierceHealthcare www.fiercehealthcare.com Staff at physician practices could benefit from a little more customer service training, leaders say. The Medical Group Management Association polled practice leaders and nearly half said... Read More >
College Bound Children
Before you send your child off to college, there are two legal documents that you need to make sure they sign. They are . a Medical Power of Attorney, and... Read More >
Code List for the Certain Designated Health Services (DHS)
Stark Compliance CMS Annual CPT HPCCS Rule Update CMS maintains and annually updates a List of Current Procedural Terminology CPT Healthcare Common Procedure Coding System HCPCS Codes Code List ,... Read More >
Protect your physician practice from cyber attacks & hackers
With cyber-attacks and data breach incidents growing in frequency, it is critical to ensure that your medical practice has taken all reasonable measures to protect you hackers. Consider the following... Read More >
Appropriate Medicare Drug Billing
Accurate Reporting of Drug Units for HCPCS Billing Ensure that units of drugs or biologicals administered to patients are accurately reported in dosage units specified in the Healthcare Common Procedure... Read More >
Manage Denials to Increase Practice Cash Flow
Revenue cycle management is a fifty-cent phrase for making sure your medical practice is paid for the care it provides. One obstacle to getting paid is claim denials. Practices can... Read More >
Want better collections? – Start at the beginning
Do any of you remember fondly the days of the handwritten appointment book, with the patient s name, phone number and brief description of the reason for the visit penciled... Read More >
Are You Reporting Changes in Practice Ownership to Medicare?
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 >
Now is a Good Time To Review Your IRS Income Tax Withholding
The Internal Revenue Service is encouraging taxpayers to consider checking their tax withholding, keeping in mind several factors that could affect potential refunds or taxes they may owe in .... Read More >
Updated Version of Medicare Advance Beneficiary Notice of Noncoverage (ABN)
nbsp An Advance Beneficiary Notice ABN , Form CMS-R- , is a written notice which a physician, provider, or supplier gives to a Medicare beneficiary before items or services are... Read More >
Collection tips for a physician practice
Collect patient due amounts before and during the service Patient due balances account for of receivables in many physician offices, and the proportion of patient due balances is growing as... Read More >
HHS unveils improved web tool to highlight recent breaches of health information
The U.S. Department of Health and Human Services HHS , Office for Civil Rights OCR today launched a revised web tool that puts important information into the hands of individuals,... Read More >
NEW Thriving Solo Family Medical Practice For Sale โ Seabrook, TX
Thriving solo family medical practice for sale in Seabrook, Texas near Clear Lake and Space Center Houston, the Official Visitor Center of NASA Johnson Space Center. Hospitals are located within... Read More >
Is your medical practice getting signed BBA’s?
When physicians and other providers who are covered entities share protected health information PHI with a third party, there is always the need to assure compliance with the Health Insurance... Read More >
Recently Part B Frequently Asked Questions by Novartis – Billing
May physicians bill Medicare for off-label uses of chemotherapy drugs? The Centers for Medicare amp Medicaid Services CMS provides the national guidelines on the unlabeled use for anti-cancer drugs. An... Read More >
Medicare Physician Fee Schedule: CMS Proposes 2018 Payment and Policy Updates
On July , CMS issued a proposed rule that would update Medicare payment and policies for doctors and other clinicians who treat Medicare patients in CY . The proposed rule... Read More >
Medicare Musings and Updates
Suite of Products amp Resources for Billers amp Coders Educational Tool Reminder A revised Medicare Learning Network Suite of Products amp Resources for Billers amp Coders Educational Tool is available.... Read More >
If it is not Signed, then it is not Complete
Is your documentation signed and ready for a medical record review? Prior to submitting records to Medicare, you must ensure that the documentation is signed. For medical review purposes, Medicare... Read More >
Quality Payment Program Technical Assistance Resource Guide
The Centers for Medicare and Medicaid Services CMS has recently published the Technical Assistance Resource Guide, which concisely highlights all of the support that is available to clinicians participating in... Read More >
FTC Sues To Halt Merger Of ND Physician Groups
The Federal Trade Commission has filed a lawsuit in North Dakota federal court to block the merger of two Bismarck-area health care providers, claiming the deal would violate antitrust laws... Read More >
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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 >
