Employers with or more full-time employees, including full-time equivalent employees, in the previous year use Form -C, Employer-Provided Health Insurance Offer and Coverage, to report the information required about offers... Read More >
Each Office Visit is an Opportunity to Recommend Influenza Vaccination People years and older are at greater risk of serious complications from seasonal influenza. The Centers for Disease Control and... Read More >
Key Factors in the IRS Independent Contractor Test The IRS formerly used what has become known as the Twenty Factor test. Under pressure from Congress and from representatives of labor... Read More >
The Federal Trade Commission reported last week that a Pennsylvania orthopedic group formed from six independent practices has resolved claims that the merger, which gave the company a percent market... Read More >
Manage Your Gains and Losses Capital gains and losses present excellent opportunities for deferral because you have nearly complete control over when you sell them, but be careful when harvesting... Read More >
In two recent reports, each with a specific focus, the OIG strongly recommended that the Office for Civil Rights OCR step up its HIPAA oversight and enforcement activities. One report... Read More >
The federal False Claims Act FCA case against Tuomey Healthcare System, which is generally viewed as the landmark case with regard to the Stark law, has finally come to a... Read More >
A cardiologist and his wife claimed large losses attributable to a house that they rented to their daughter for , month. Previously, they had rented the house to an unrelated... Read More >
The IRS has reminded Applicable Large Employers ALEs generally those with or more full-time equivalent employees that they are subject to new reporting requirements for . The first statements Form... Read More >
You can check your claim status by Interactive Voice Response IVR IVR gives providers access to Medicare claims information through a toll-free telephone number. Visit your Medicare Administrative Contractor MAC... Read More >
Coding around the Compliance Date A claim cannot contain both ICD- codes and ICD- codes For dates of service prior to October , submit claims with the appropriate ICD- codes,... Read More >
The key to dealing with problem medical practice employees is moving quickly to fix the behavior. Here s what I recommend . Use formal write-ups. Document it when employees demonstrate... Read More >
The ICD- -CM PCS Frequently Asked Questions web page has answers to your questions about Claims processing and billing Coding General Equivalence Mappings GEMs Home Health National Coverage Determinations NCDs... Read More >
A financial management consultant was indicted Wednesday in Rhode Island federal court on charges relating to the alleged embezzlement of more than million from an anesthesiology practice and its employee... Read More >
While the False Claims Act FCA has been in existence for years, many providers do not know that the rule was extended in . As part of the Affordable Care... Read More >
Strategy for Patient Collections Here are five tips and strategies to help improve patient collections. Retrain front-desk staff The most important approach is to train or retrain the staff that... Read More >
At a government industry payroll professionals meeting in Washington, DC, a DOL representative revealed that many DOL investigations are prompted by workers even though their employers are currently in compliance.... Read More >
A high-profile Medicare experiment pushing doctors and hospitals to join together to operate more efficiently has yet to save the government money, with nearly half of the groups costing more... Read More >
With ICD- less than a month away, now is the time to get ready. You can make sure your practice is prepared by following the ABCs of ICD- Assess how... Read More >
Kaiser Health News staff writer Jay Hancock reports Why did hospitals binge-buy doctor practices in recent years? To improve care coordination, lower costs and upgrade patient experiences, say hospitals. To... Read More >
Columbus Regional Healthcare System Columbus Regional and Dr. Andrew Pippas have agreed to pay more than million to resolve allegations that they violated the False Claims Act by submitting claims... Read More >
A piece of customer service advice I give my clients is for the front desk staff is smile anytime they talk answering the phone or greeting a patient. If you... Read More >
Your health insurance company may request that you provide them with the social security numbers for you, your spouse and your children covered by your policy. This is because the... Read More >
The U.S. Attorney s Office announced that Pediatric Services of America Healthcare, Pediatric Services of America, Inc., Pediatric Healthcare, Inc., Pediatric Home Nursing Services collectively, PSA , and Portfolio Logic,... Read More >
The IRS provides guidance for Applicable Large Employers ALEs generally those with or more full-time equivalent employees on providing statements to their full-time employees about the health insurance coverage offered... Read More >
One of the most challenging problems I encounter working with physician practices is disruptive physician behavior. This type of behavior usually manifests in a host of unpleasant ways such as... Read More >
Physicians and managers dread the day an employee says she will be leaving the practice. There are just so many challenges to think about How long will it take to... Read More >
CMS has launched the ICD- Clinical Concepts Series for Specialties to help physicians and other providers get up to speed. Each guide in the series compiles key information from the... Read More >
Over the past five years, hospitals have increased employing community physicians. In many instances, these institutions are aggressively seeking ways to maintain and build their market share of inpatient admissions... Read More >
If a non-physician practitioner NPP but not a physician has seen a patient within the last three years, is the patient new or established? Although CPT consistently uses the term... Read More >
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