Insurance claim denial management
nbsp Medical claim denials cut right at the jugular of a practice s financial success. Today, a medical practice s operating expenses often exceed of its total revenue. With thin... Read More >
tark In-Office Ancillary Services Exception Disclosure Requirements Effective January 1, 2011
nbsp Effective January , , the new Stark In-Office Ancillary Services Exception the IOASE provisions will require physicians or group practices relying upon the IOASE collectively, Physician Practices to furnish... Read More >
DOJ: Record-Breaking Year for False Claims Act Recoveries
The U.S. Justice Department recovered more than billion under the False Claims Act since the beginning of , the largest amount in any two-year period in history, a DOJ official... Read More >
How to Handle Employee Theft Claims
How to Handle Employee Theft in Your Medical Practice A Step-by-Step Guide Most health care professionals must trust their employees to handle the financial aspects of their practices and in... Read More >
Internal controls for a physician practice – Part II
nbsp Monitor contractual adjustments for reasonableness Depend-ing on the practice s payor mix, a high volume of contractual adjustments could indicate possible embezzlement. For example, an insurance claim for ,... Read More >
Strategic planning self-assessment for healthcare professionals
nbsp Following is an example of our strategic planning self-assessment. The purpose of these self-assessments is to give you a concise checklist of best practices in a clinical practice. This... Read More >
Need an overview of physician compliance issues?
nbsp Most physicians strive to work ethically, render high-quality medical care to their patients, and submit proper claims for payment. Society places enormous trust in physicians, and rightly so. Trust... Read More >
The IRS and Quickbooks
Does your medical practice use Quickbooks to keep its accounting records? Then you ll be interested in this The IRS noted that it recently completed training for revenue agents the... Read More >
Simple medical practice billing errors
As we call know, billing mistakes can cost your practice money, frustrate your patients and even put your relationship with insurance providers at risk however, the vast majority of billing... Read More >
2011 OIG Work Plan: Impact on Physician Practices
nbsp Evaluation amp Management Services In , Medicare spent nearly one fifth of its Part B payments on Evaluation and Management E amp M Services. Providers are responsible for ensuring... Read More >
Reminder CMS requires new time limits for filing claims
nbsp The Centers for Medicare amp Medicaid Services CMS earlier this year issued instructions requiring providers to submit Medicare fee-for-service claims within one calendar year from the date of service.... Read More >
2011 Pension Plan Amounts
nbsp The major pension plan and related amounts will stay the same for . This means, for example, that the following amounts will remain unchanged from their amount benefit limit... Read More >
Managed Care Doโs and Donโts
nbsp If medical practices want patients and therefore a cash flow revenue stream, then you are more than likely going to have to participate in managed care plans. However, when... Read More >
Sing your staffโs praises
Many physicians and their managers might think that boosting office morale means having to boost staff salaries. In reality, money does not keep people happy for long, so trying to... Read More >
Importance of compliance for physician entities
nbsp Unfortunately, many physicians believe their activities are under the radar when it comes to fraud and abuse enforcement. A settlement announcement by the Office of Inspector General OIG of... Read More >
Estate tax strategies
There has been a great deal of discussion about estate taxes recently because there is no federal estate tax upon death during at least for now . We do not... Read More >
CMS identified Medicare enrollment problem, adds 48,774 physicians to PECOS ordering/referring list
As first reported by the Medical Group Management Association www.mgma.com , last week an official at the Centers for Medicare and Medicaid Services CMS reported that the agency identified a... Read More >
Managing by the numbers – Part 2
nbsp You also want to look at productivity, such as the number of patient visits office versus hospital , how many diagnostic tests or other in-house services were provided, and... Read More >
Managing by the numbers – Part I
nbsp One of my prior articles cautioned readers on the use of overhead rates as a financial indicator of practice performance. I called it diddling the overhead since overhead is... Read More >
An Online Way to Order Medical Supplies
nbsp Esurg.com is an online source of medical, surgical and pharmaceutical supplies to office-based healthcare providers. Its Website is located at www.esurg.com. Esurg.com is a convenient resource that helps practice... Read More >
โIncident Toโ and drug administration
Medicare utilizes information provided by the Comprehensive Error Rate Testing CERT contractor to select topics for education in an effort to reduce the provider compliance error rate and achieve positive... Read More >
Interim Relief from Reporting the Cost of Employer-sponsored Health Care on Form W-2
Beginning with Forms W- issued for , the Affordable Care Act requires employers to report the aggregate cost of employer-sponsored health care coverage on an employee s Form W- .... Read More >
Want to be a better performing medical practice?
Better performing medical practices use the following techniques to increase profitability strategic and profit planning cost management evaluation of capital structure and investments evaluation of tax policy and management internal... Read More >
Customer service training for a physician office
nbsp Every medical practice should be looking at how well they are delivering good customer patient service on a daily basis. Progressive practices conduct periodic customer service training programs for... Read More >
Continuity Planning for physician practices
Planning can ensure that your family and medical practice or any other healthcare entity business are protected. The long term survival of any business like a medical practice and the... Read More >
Steps for accessing Medicare PECOS system
Having problems accessing the PECOS system? Be sure to follow these steps Enroll security officials in IACS required to access PECOS IACS authorized individual for provider accesses PECOS Register Group... Read More >
64 percent of appealed RAC claims decided for providers
According to a recently released report from Centers for Medicare amp Medicaid Services CMS , providers won . percent of appealed claims during the three-year Recovery Audit Contractors RAC demonstration... Read More >
Workshop Today Regarding Accountable Care Organizations, and Implications Regarding Antitrust, Physician Self-Referral, and Anti-Kickback
nbsp Government is holding a workshop today on Accountable Care Organizations. You can hear it live at http web.stream .com clients intercall cms Here is the agenda - Opening Comments... Read More >
Evaluation and Management Coding Analysis Example
Coding Table For Family Practitioners The following worksheet shows a coding comparative for a family practice. All three family practitioners perform the same type of services. Now take a close... Read More >
Impact of expiring tax cuts on physician tax returns
nbsp Ninety days and counting until the Tax Act sunsets. Expect tax rates across the board to increase on January st unless new tax rules are enacted. Congress recently warned... Read More >
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Accounting and Tax Services Litigation Support Managed Care Consulting Managed Care Contract Negotiations Medical Practice and Healthcare Entity Valuation Medical Practice Assessment Medical Practice Brokerage Medical Practice Embezzlement Consulting Medical Practice Management Medical Practice Merger Advice Medical Strategic Planning Newsletter Personal Financial Planning Oversight Physician Compensation Models Physician Compliance Physician Financial Management Services Retirement UncategorizedAbout Reed Tinsley, CPA
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 >
