HHS-OIG Year in Review
This Year in Review highlights significant work in the government s continuing battle against fraud, waste, and abuse in Department of Health and Human Services programs, including Medicare and Medicaid.... Read More >
Doctor Faces Payroll Tax Penalty for Early Employee Payments
A family doctor, whose medical practice owed over million in unpaid payroll and withholding taxes, was a responsible person and was liable for payroll tax penalties when he paid his... Read More >
Medicare Improper Payments Report
According to Part B News http pbn.decisionhealth.com , some specialty groups may want to take a closer look at their coding and billing processes for office visit codes - after... Read More >
Basics of the MIPS and How to Qualify in 2017
The Medicare incentive programs with which you and your medical practice are familiar will soon be no more. As of January , , these programs including the Electronic Health Records... Read More >
Cloud Computing and HIPPA Compliance
The U.S. Department of Health and Human Services, Office for Civil Rights OCR released new guidance for covered entities and business associates that utilize cloud computing for data storage, software,... Read More >
Increased transparency and quality information via new Compare sites and data updates
The Centers for Medicare amp Medicaid Services CMS continues to work diligently to make health care quality information more transparent and understandable for consumers. At CMS, one of our top... Read More >
IRS, Partners Move to Strengthen Anti-Fraud Effort with Form W-2 Verification Code
When you get your Form W- in early , you may notice a new entry a -digit verification code. This is part of an effort conducted by the Internal Revenue... Read More >
2015 Performance Scores Released on Physician Compare
The Centers for Medicare amp Medicaid Services CMS recently released new quality data on Physician Compare. This release of newly available quality data includes Physician Quality Reporting System PQRS performance... Read More >
MIPS exemption – Do you qualify?
You may be one of the many physicians who might be exempt from penalties for not participating in MIPS. The Centers for Medicare amp Medicaid Services CMS has developed a... Read More >
IRS Lowers Mileage Rates for 2017
The Internal Revenue Service has issued the optional standard mileage rates to calculate the deductible costs of operating an automobile for business, charitable, medical or moving purposes. Beginning Jan. ,... Read More >
Join CMS to Learn Important Updates about MACRA and the Patient Relationship Categories
Join the Centers for Medicare amp Medicaid Services CMS for a webinar series to learn important information about the development of patient relationship categories for the Medicare Access and CHIP... Read More >
Antitrust Considerations While Forming Provider Contracting Networks
McDermott s Managing the Transition to Transformation series is designed to help health systems and other health care industry leaders address the many challenges presented by the transformation in payment... Read More >
Meaningful use/False Claims settlement by orthopedic group – Improper coding can get you in serious trouble
United States Attorney A. Lee Bentley, III announced that Southeast Orthopedic Specialists SOS , a Jacksonville, Florida-based orthopedic medical group, has agreed to pay the government . million to resolve... Read More >
CMS Reissues Stark Rules Restricting Certain Unit-based Rental Rate Arrangements and Issues Two Stark Updates
nbsp By Daniel H. Melvin and Amanda Enyeart posted on McDermott Will amp Emery FCA blog. On November , , as part of its Medicare Physician Fee Schedule update, the... Read More >
IRS, Security Summit Partners, Remind Taxpayers to Protect Themselves Online
The Internal Revenue Service, the states and the tax industry today urged taxpayers to take steps to protect themselves online to help in the fight against identity theft. Scammers, hackers... Read More >
Analyzing & monitoring physician practice collection performance
Failure to analyze collection performance can be a major headache. Too often the staff is focused on getting the billing off their desk and the claims submitted, but have little... Read More >
7 Days Remaining to Submit an Informal Review for 2017 Physician Quality Reporting System Results
In , CMS Medicare will apply a downward payment adjustment to those who did not satisfactorily report PQRS in including Individual eligible professionals EPs Comprehensive Primary Care CPC practice sites... Read More >
Texas judge blocks new overtime pay law
nbsp A federal judge in Texas on Tuesday blocked a U.S. Department of Labor rule that extends overtime pay to roughly million workers nationwide. The rule had been scheduled to... Read More >
A few patient collection mistakes
It always starts with the collection of insufficient or inaccurate financial data. This is an ongoing complaint from the billing and collections department. I hear everything from the schedulers didn... Read More >
Medicare compliance tools
False Claims Act Watch a brief video on the False Claims Act to help you understand and comply with this law. False claims are not claims with innocent billing mistakes.... Read More >
Kusserow on Compliance: Guarding against mobile device breaches: Tips from an expert
Camella Boateng, an expert on HIPAA makes the point that Most HIPAA breaches involve mobile devices. Such breaches dominate the under patient breaches, which has masked the true number of... Read More >
How to Use Social Media to Benefit Your Medical Practice
Thinking it s time to embrace social media? You re right As more patients turn their attention online, never before has it been more important for you to be involved... Read More >
Accelerated Filing Deadline for Forms W-2 & 1099-MISC
New January Deadline for W- and -MISC Forms In case you haven t heard, employers and small businesses have a new filing deadline for Form W- reporting wages and -MISC... Read More >
Things to consider when a physician enters in to a Medical Directorship contract
In a search for more dollars many physicians, especially clients of mine, have entered in to a Medical Directorship arrangement with a hospital. After reading about and researching this area... Read More >
Gold vs. Platinum: Which Do Your Employees Give Patients?
Have you ever had that a-ha moment when you come across an old document? Those oldies, but goodies that you ve forgotten about years ago ? That is the feeling... Read More >
The Difference between Expecting Referrals & Inducing Them
From Norm Tabler at Faegre Baker Daniels law firm A new Fifth Circuit opinion explains the difference between offering a benefit in order to induce a Medicare referral and offering... Read More >
Don’t forget your discount from Greenbranch Publishing
Don t forget Greenbranch Publishing s discount for my readers. Find a book and at checkout enter promotional code TINSLEY for a discount. Here is a sample of the book... Read More >
CMS Finalizes Hospital OPPS Changes
On November , CMS finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System OPPS and Ambulatory Surgical Center ASC Payment System for CY . CMS... Read More >
Mistakes Causing Claim Denials
Claims with Missing Information If your staffers leave certain encounter data out of a claim, it could come back to haunt you in the form of an insurance denial. Make... Read More >
Ideas for Setting Up a Referral Network for Your Physician Medical Practice
A strong referral network can be a huge advantage for your practice and a source of new patient volume. What are the keys to getting a solid referral structure in... 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 >
