nbsp Under the proposed rule, an ACO may include the following types of groups of providers and suppliers of Medicare-covered services ACO professionals i.e., physicians and hospitals meeting the statutory... Read More >
nbsp The technical and legal aspects of a medical practice merger, while not always easy to resolve, can often be worked out. My experiences have shown me that failed mergers... Read More >
There is a myriad of strategic options for physicians who want to increase their capability to address and control what is occurring in today s healthcare market. One scared option... Read More >
nbsp Physicians needing help solving their problems with the IRS can use the free and independent Taxpayer Advocate Service TAS within the IRS. The TAS assists taxpayers who are unable... Read More >
nbsp In the last issue of my newsletter, I wrote an article about physicians selling their medical practices to hospitals. Just thought I d share this feedback and commentary from... Read More >
Last year the Physicians Foundation conducted a survey asking physicians about their thoughts on healthcare reform the following are some of the more interesting responses The majority of physicians said... Read More >
The toughest payers to collect from, though, are not commercial insurers or federal programs, but your own patients. For that, you need good practice policies and a determination to follow... Read More >
nbsp More and more physicians are building or purchasing their own buildings to house their medical practices. They would prefer to own and build up equity rather than lease comparable... Read More >
nbsp Most people would never consider opening a business or practice without buying insurance to cover damage due to fire and windstorms. However, too many physicians fail to think about... Read More >
nbsp As you know by now, the Centers for Medicare amp Medicaid Services CMS have issued proposed rules that would implement Section of the Affordable Care Act. Section requires the... Read More >
Section a of the Medicare Improvements for Patients and Providers Act of MIPPA amended section e of the Social Security Act and required the Secretary to designate organizations to accredit... Read More >
nbsp Without a doubt, times are tough for physicians in private practice. Operating costs continue to rise at a staggering pace and reimbursements are simply not keeping up. Recruiting and... Read More >
The Department of Health and Human Services HHS released regulations yesterday on accountable care organizations ACOs . The rules will guide provider organizations in setting up exchanges of healthcare data... Read More >
nbsp The IRS has issued interim guidance on reporting the cost of employer-sponsored health insurance coverage on an employee s Form W- IRS Notice - . Beginning with Forms W-... Read More >
nbsp Established multiphysician practices typically have succession plans that are driven by the opposing interests of the entering and exiting owners, who might be shareholders, partners, or LLC members. Consider... Read More >
Individual physicians must pursue the future of their practice with intensity and thoughtfulness. The good news is that the extra effort can have a direct effect on the financial rewards... Read More >
nbsp Here s something interesting Recently U.S. District Judge Rosemary Collyer dismissed a suit brought by a group of men seeking to cease their Medicare Part A coverage. In an... Read More >
nbsp In the latest edition of Retirement News for Employers available at www.irs.gov pub irs-tege rne win .pdf , the IRS reminds employers of their responsibilities concerning pre-approved plans that... Read More >
Recent RAC audits have detected two high risk vulnerabilities for physician claims are listed in Table below. These claims were denied because the demonstration RACs determined that either a duplicate... Read More >
nbsp In case you haven t heard, CMS is establishing an automated edit to deny Part A and B claim line s items that contain a GZ modifier. The GZ... Read More >
nbsp There should be one policy and one policy only for all medical practices To collect monies owed by patients at the time of their office visit. This policy needs... Read More >
nbsp After the initial analysis and determination of primary objectives, the next step is to review the existing written policies and procedures for that process. If such documentation doesn t... Read More >
Similar to the mid to late s, medical practice management today has begun to be dominated by mergers, affiliations, and other external strategic initiatives aimed, ideally, at enhancing economic potential... Read More >
nbsp Improve billing and collection activities Start doing financial benchmarking Improve your billing processes Improve receivables management process Improve CPT coding Critical in a fixed fee environment this is where... Read More >
CACTUS Software is a credentialing software package for provider and physician management. CACTUS Software has been the industry leader in credentialing software design and development since . For more information,... Read More >
nbsp Here s the straight scoop on hiring an advisor, along with honest coaching on how to terminate an attorney or CPA relationship. There s no magic approach except to... Read More >
A physician hires a new nurse practitioner. The practice sends the provider application to Medicare to obtain a Medicare provider number for the NP. Because the NP was not physically... Read More >
This language may be used when, in addition to a base salary, a physician employee will receive incentive compensation in excess of an incentive threshold, which is a single, stated... Read More >
nbsp Prenumber all patients encounter forms, or Superbills, and make sure they are accounted for on a daily basis Accounting for the Superbills i.e., charge tickets used daily generally is... Read More >
nbsp Every medical practice must implement specific internal controls to protect it from revenue loss and potential employee embezzlement. Although there will never be a guarantee that employee embezzlement, fraud,... Read More >
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