nbsp Physician practices are often deceived by a billing practice that creates payment discounts for payors who are not entitled to them. Under these arrangements, indemnity i.e. commercial insurance payors... Read More >
nbsp In order to compete in a market that is moving toward managed care, doctors must be able to show that they are more effective clinically than their peers. In... Read More >
Monitor and analyze the gross collection percentage dividing the practice s collections by its gross production on a monthly and year-to- date basis. The gross collection percentage is one of... Read More >
nbsp Many physicians manage their practices from the gut and look at a paucity of numbers to evaluate the progress or lack of progress of their practices. Now there are... Read More >
One way to reduce double taxation on a corporate liquidation following an asset sale was highlighted in William Norwalk TC Memo - , where the Tax Court held that goodwill... Read More >
nbsp Problem Solution Waiting on Operative Notes Generally not necessary to attach operative notes to a claim form for most payors Exception Using the - modifier or billing an unlisted... Read More >
nbsp A shift in the practice s payor mix In some areas, the demographics of patients can switch away from commercial insurance to managed care. Sometimes, this switch can be... Read More >
With what seems like a continuous decline in physician reimbursement, it is imperative that all practices collect every dollar they are entitled to. However we all know this is not... Read More >
Think your operating overhead is as low as it can get? Think again. There s always something that can be tweaked to reduce overhead. To assess overhead, complete a financial... Read More >
The following was reprinted from the Physician Organizations Practice Group section newsletter published by the American Health Lawyers Association. If you are not a member of this organization, I recommend... Read More >
An article in the New York Times stated that efforts to promote smoking cessation in the U.S. appear to be taking a hit as more programs shift their focus on... Read More >
The Affordable Care Act expanded the tax exclusion authorized by IRC Sec. f for amounts received by health professionals under loan repayment and forgiveness programs. Effective for amounts received after... Read More >
nbsp The Centers for Medicare amp Medicaid Services CMS recently issued instructions requiring providers to submit Medicare fee-for-service claims within one calendar year from the date of service. This requirement... Read More >
The checklist below is an example of a strategic planning self-assessment you can use in your practice. The purpose of these self-assessments is to give you a concise checklist of... Read More >
nbsp Looking for Medicare utilization statistics? You can go to the CMS website and download the files here http www.cms.hhs.gov MedicareFeeforSvcPartsAB MedicareUtilizationforPartB.asp TopOfPage This is the link for the Medicare... Read More >
nbsp I am often asked what is the most common deficiency I find in medical practice operations when I conduct a full operational assessment. Managing a medical practice has to... Read More >
nbsp Many physician practices are beginning to reduce and limit the number of new Medicare patients they see in the office. Here are some pointers in case you are thinking... Read More >
What safeguards should physicians who treat family members consider? Reasonably ensure the maintenance of relevant audit logs. Also, consider a regular review of patient charts for family members treated regularly.... Read More >
A colleague and I were discussing recently how we think physicians must have watched the cartoon series Southpark where school counselor Mr. Mackey tells the children about the evils of... Read More >
nbsp Thinking of starting a new medical practice and wondering where do I begin? Well the first step is to download the new practice start-up checklist from my website https... Read More >
nbsp 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... Read More >
nbsp Oftentimes a medical practice wants to know whether or not it should keep its books on the cash basis of accounting or the accrual basis of accounting. The answer... Read More >
Let s start off this Monday with something light. An individual founded a California nonprofit public benefit corporation to provide his sperm free of charge to women seeking to become... Read More >
nbsp Without a doubt, today s health care environment is in disarray. In many markets, reimbursement for clinical services to physicians has steadily decreased. Also, many managed care plans are... Read More >
I ve had several clients recently ask if their health insurance paid by their employer i.e. the medical practice will be taxable next year. In other words, will the value... Read More >
In case you missed it, the Centers For Medicare and Medicaid Services CMS has published the CY Proposed Medicare Physician Fee Schedule for public inspection. The Proposed Fee Schedule includes... Read More >
nbsp I know you ve read or heard this by now, but the Centers for Medicare amp Medicaid Services CMS is working with providers to address concerns about enrollment in... Read More >
nbsp It is important that billing and coding professionals who work with Fee-for-Service FFS providers have the timely and accurate information they need to properly bill the Medicare program. CMS... Read More >
Cash basis or accrual accounting? Learn which method suits your medical practice best for accurate financial tracking, improved cash flow, and long-term success. Read More >
Federal Trade Commission Chairman Jon Leibowitz recently gave a speech before the American Medical Association to address the FTC s position on the formation of accountable care organizations. As long... Read More >
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