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 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 >
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 >
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 >
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 >
When considering a new hire for your medical practice, learning as much as you can about the candidate s background before moving ahead is critical. After all, embezzlement and other... Read More >
For , the Social Security Administration SSA has announced that cash wages paid by an employer for domestic service in the employer s private household is subject to FICA tax... Read More >
The Centers for Medicare amp Medicaid Services CMS announced new opportunities for clinicians to join Advanced Alternative Payment Models APMs developed by the CMS Innovation Center to improve care and... Read More >
The HIPAA Privacy Rule requires health plans and covered health care providers to develop and distribute a notice that provides a clear, user friendly explanation of individuals rights with respect... Read More >
About million workers will pay more Social Security taxes in , because the wage base for that tax will rise to , from this year s , . The maximum... Read More >
Does your organization collect and share consumer health information? When it comes to privacy, you ve probably thought about the Health Insurance Portability and Accountability Act HIPAA . But according... Read More >
On Oct. , the Centers for Medicare and Medicaid Services released the highly anticipated final rule implementing the Medicare physician payment reforms enacted as part of the Medicare Access and... Read More >
It s harder and harder than ever for practices to stay independent in the post-ACA era of health insurance. Physicians Practice and KeyBank have teamed up to help guide you... Read More >
The Centers for Medicare amp Medicaid Services CMS is holding a webinar on October at PM ET, on the Medicare Access and CHIP Reauthorization Act of MACRA final rule with... Read More >
Private Letter Ruling Physicians service agreements entered in connection with staffing medical facility owned by exempt organization that is funded with state bond proceeds do not result in private business... Read More >
On October , HHS finalized its policy implementing the Merit-Based Incentive Payment System MIPS and the Advanced Alternative Payment Model APM incentive payment provisions in the Medicare Access and CHIP... Read More >
Do you suspect someone is submitting fraudulent claims to Medicare? Watch a brief video on How to Report Fraud to the OIG and learn how you can report these activities... Read More >
Open enrollment season is under way, and when workers get their health-plan information, many of them can expect higher out-of-pocket costs. As employers cope with rising health costs, some are... Read More >
New EHR Contract Guide and Health IT Playbook HHS Office of the National Coordinator for Health Information Technology ONC released two tools to help health care providers get the most... Read More >
Raleigh Orthopaedic Clinic, P.A. of North Carolina Raleigh Orthopaedic agreed to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of HIPAA Privacy and Security Rules... Read More >
From the McGuireWoods law firm By October , , healthcare providers and other covered entities must publish and disseminate nondiscrimination notices, including disclosures that they provide language assistance services for... Read More >
Sometimes we read books, articles or opinions that give us insight into the things we are doing right, the things we could be doing better and the ways we can... Read More >
If you are a solo medical practitioner or healthcare business owner, a business succession plan is a key component of any asset protection plan. In most cases, a medical practice... Read More >
OCR has released a new FAQ addressing whether a business associate of a HIPAA covered entity may block or terminate access by the covered entity to the protected health information... 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 >
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 >
It s similar to a professional basketball game. Coaches have a clear vision of the team s strengths and weaknesses. They also find out as much as they can about... Read More >
We keep hearing some of the most common complaints of hospital-employed physicians. Before turning to these complaints and ways to address them, one common issue I see most often is... Read More >
Now is a good time to review how you use ICD- . The following Key Performance Indicators can help you manage your revenue cycle and track your ICD- progress Assess... Read More >
The ICD- honeymoon period will soon be a thing of the past, and we expect to see denials for most or all of the unspecified diagnosis codes being used. Any... Read More >
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