AMA National Health Insurer Report Card Released
AMA Health Insurer Report Card Key Findings and ABI The AMA publishes an annual report card of the claims revenue cycle activities of the major commercial health insurers and Medicare.... Read More >
Medicare Shared Savings Program ACO Fast Facts
nbsp This document is a collection of annual high level data that illustrate facts about Medicare Shared Savings Program ACOs such as, where ACOs are located, as well as ACO... Read More >
Medicare Payments for Services by Physicians Who Were Bought Out by a Hospital about to go down?
http://www.nytimes.com/2013/06/15/health/medicare-panel-urges-cuts-to-hospital-payments-for-services-doctors-offer-for-less.html?_r=0 http://medpac.gov/documents/Jun13_FactSheet.pdf http://medpac.gov/documents/Jun13_EntireReport.pdf Read More >
Another HIPAA violation and related settlement
nbsp Shasta Regional Medical Center SRMC has agreed to a comprehensive corrective action plan to settle an investigation by the U.S. Department of Health and Human Services HHS about potential... Read More >
1 Out of Every 3 Docs Plans to Quit – Really?
nbsp Blaming low compensation and the hassles of healthcare reform, of general practice physicians say they plan to leave the practice of medicine over the next decade, according to a... Read More >
Simple HIPAA checklist for your physician practice
Review policies and procedures to ensure they are up to date and comprehensive. Review your files and documentation to ensure that appropriate patient information safeguards exist. Assess your organization s... Read More >
What steps to take when a physician shareholder exits the medical practice
Here are some typical actions by the medicadl practice Notices to staff do immediately after decision was made Notices to patients usually goes out about days before departure date Notices... Read More >
HIPAA Mobile Device Resources
nbsp HHS has provided online tools to assist providers protect patient data in mobile devices, such as laptops, tablets, and smartphones. The initiative is called Mobile Devices Know the RISKS.... Read More >
Giving Employees Notice of Health Insurance Exchanges
nbsp On May , the DOL issued eagerly anticipated guidance regarding the notice of health insurance exchanges that employers must distribute to employees during , including model notices that employers... Read More >
4 Habits of Extraordinary Bosses – Listen Up Doctors & Managers
Principles of Extraordinary Leadership Empowering Teams for Success . They Remove the Nonperformers Average bosses sometimes hire somebody who can t do the job but then keep that person on... Read More >
Learn Lessons from Tuomey Hospital Stark case
Lessons from Tuomey Healthcare Stark Law Compliance and Legal Precedents From the Health Law Daily by Wolters Kluwer On May , , the Department of Justice DOJ filed a motion... Read More >
Modifier 22 reminder – Support the โIncreasedโ Argument
nbsp CPT designed modifiers to represent the extra physician work involved in performing a procedure because of extenuating circumstances present in a patient encounter. Modifier represents those extenuating circumstances that... Read More >
Idaho State University settles $400,000 HIPAA security case
nbsp Idaho State University ISU has agreed to pay , to the U.S. Department of Health Human Services HHS for violations of the Health Insurance Portability and Accountability Act of... Read More >
Pay that motivates your physician medical practice staff
nbsp Physicians know who their best employees are hardworking, competent, loyal and emotionally invested in the practice and its patients. They re essential to the quality care doctors provide each... Read More >
Is your copier storing patient PHI?
nbsp A client called to my attention that a seemingly very HIPAA savvy patient she had recently seen refused to allow her to make a copy of his insurance information.... Read More >
Health Care Reform 2014 – Now Is The Time
nbsp Just over three years ago, Congress enacted legislation that overhauls the U.S. health care system and affects nearly all taxpayers, many employers, and many elements of the health care... Read More >
Application of the Multiple Procedure Payment Reduction (MPPR) on Imaging Services to Physicians in the Same Group Practice
nbsp This article is based on Change Request CR which informs Medicare contractors about changes to the Multiple Procedure Payment Reduction MPPR . The MPPR on diagnostic imaging applies when... Read More >
1) OCR Posts HIPAA Educational Materials on Website
nbsp Compliance with the Privacy and Security Rules of HIPAA is not easy. However, the U.S. Department of Health and Human Services HHS Office for Civil Rights OCR website is... Read More >
IRS Closes Loophole On ACA’s Employer Mandate
nbsp Law , New York May , , PM ET The Internal Revenue Service on Friday plugged a loophole that could have let companies skirt the health reform mandate that... Read More >
May 2013 – Health Care Reform Developments
nbsp Proposed Regulations on Minimum Value The IRS has issued proposed regulations explaining how to determine if an employer-sponsored group health plan provides minimum value. The term minimum value, which... Read More >
Understanding the New 3.8% Net Investment Income Tax
nbsp In December , the IRS issued proposed regulations REG- - for the net investment income tax under Sec. that went into effect on Jan. , . At the same... Read More >
What is the Patient-Centered Medical Home?
The Patient Centered Medical Home is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where... Read More >
New MLN Medicare Provider Compliance Fast Fact
nbsp A new fast fact is now available on the MLN Provider Compliance web page. This web page provides the latest MLN Education Products and MLN Matters Articles designed to... Read More >
Are you using your EMR’s tracking systems?
nbsp Most EMR systems include a tracking system to help you make sure your patients have completed your recommended tests or consultant referrals. These systems can minimize a physician s... Read More >
Handling an impaired physician situation
nbsp From a reader I could use some feedback on a very sticky situation in my practice. We have a physician that is in the middle of a mid-life crisis.... Read More >
Updated OIG guidelines for assessing state false claims acts
https://oig.hhs.gov/fraud/docs/falseclaimsact/guidelines-sfca.pdf Read More >
IRS Issues Proposed Rules On Compensation Deduction Limit for Health Services Pay
Under IRC Sec. m , which was enacted as part of the Affordable Care Act, a , compensation deduction limit is imposed on certain health insurance providers. The deduction limit... Read More >
NEW HEALTH CARE ORGANIZATIONS OFFER REWARD, RISK (ACOs)
Three things to notice in this article One is a simplified explanation of the law and practical consequences. Another is the choice of which model to adopt shared savings or... Read More >
Is government going after physician-owned distributorships?
This Special Fraud Alert addresses physician-owned entities that derive revenue from selling, or arranging for the sale of, implantable medical devices ordered by their physician-owners for use in procedures the... Read More >
New Medicare claim denials begin May 1
Effective May , , the Centers for Medicare and Medicaid Services CMS will turn on the Phase denial edits. This means that Medicare will deny claims for services or supplies... 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 >
