Summary of new OIG Advisory Opinion 07-19
From the American Health Lawyers Association www.healthlawyers.org p.s. You don t have to be a lawyer to join this excellent organization On January , , the OIG posted Advisory Opinion... Read More >
Attract and train the best and brightest
In the recent issue of Accounting Today www.webcpa.com , Gary Boomer of Boomer Consulting wrote an article on how to attract and train the brightest. While he may have been... Read More >
Exclusive Contract Between Hospital and Neurosurgery Group Does Not Run Afoul of State Antitrust Laws
From the American Health Lawyer s Association The U.S. District Court for the Southern District of Mississippi recently held that while an exclusive contract between a hospital and a neurosurgery... Read More >
How to handle noncompliant partners/shareholders
Suppose you ve finally crafted the compensation plan all partners agree works best for your practice. Should you penalize a partner who sees plenty of patients but isn t carrying... Read More >
CMS Delays Certain Aspects of Revised Anti-Markup Provision
From the Vinson Elkins law firm CMS Delays Certain Aspects of the Revised Anti-Markup Provision On December , , the Centers for Medicare and Medicaid Services CMS issued a final... Read More >
Track and manage disputed claims to prevent recurrence
Meeting individually with payers can help to reduce the number and types of disputed claims a provider encounters. The following are several disputed claims management strategies that emerged from working... Read More >
Physician offices staying out of trouble with the government
A lot of physician healthcare enforcement actions relates to the performance of unnecessary services and when those services put the health and safety of patients at risk. Most of us... Read More >
HIPAA: Physician Practice and a Hospice
Q Is it necessary for a physician practice and a hospice organization to have a business associates BA agreement? It seems that a BA agreement would be unnecessary, because both... Read More >
Consider treating each new employment agreement individually
When you finally land the right physician after months of searching, don t fall into the trap of using the same employment agreement your attorney drafted three physicians ago. As... Read More >
Offer generous salaries to retain physician-employees
Promoting only those physicians with the needed ownership and entrepreneurial skills solves the problem of having unsatisfactory co-owners. Yet it creates another problem If clinically qualified young doctors are denied... Read More >
2007 Medical Group Compensation & Financial Survey Released
The MGMA surveys are very popular among practice administrators, physicians, CPAs, and consultants but don t forget the AMGA compensation and financial survey Here is a summary of the publication... Read More >
Ways to control the rising cost of health insurance premiums
As health insurance premiums continue to rise, the following are the most common strategies medical practices use to control these costs . Look for lower premiums by switching health insurance... Read More >
Website offers advice on medical software selection
As we all know, selecting medical software can be difficult. There are literally hundreds of billing, practice management and EMR systems out there. With little time for research, doctors and... Read More >
Review your cash control policies
Your practice size will dictate how complex you can make your cash control policies. The most common internal control calls for a division of duties to prevent any individual employee... Read More >
NPI notification letter no longer needed for Medicare enrollment
When the Centers for Medicare amp Medicaid Services CMS revised the Medicare enrollment application CMS- in May , the agency required all providers completing the form to include a copy... Read More >
Choose office colors that make patients comfortable
Even physicians need to think about customer service. How a patient perceives your office and the impression it makes is a big customer service item. So make sure your practice... Read More >
Draft an effective denied-claim appeal letter
When drafting an appeal letter for a denied claim, start with an introductory section that stresses your practice s qualifications and your commitment to compliance and providing appropriate services. Then,... Read More >
Hidden impact within 2008 Medicare rates
Frank Cohen www.cpahealth.com has again reminded us of a few very few important points Congress approved the stay of execution for the . reduction in the Medicare allowable and replaced... Read More >
Meeting Rules
We all know meetings are a curse. Here are some rules by law firm consultant David Maister that hopefully will make your meetings more productive. Do not call meetings when... Read More >
Congress Expands FMLA Leave for Military Duty and Injuries
Congress passed legislation last week which, if signed by President Bush as expected, will amend the Family and Medical Leave Act FMLA for the first time since its passage in... Read More >
IRS Announces Procedure for Whistleblowers to Report Tax Law Violations
From the American Health Lawyers Association www.healthlawyers.org Section b of the Internal Revenue Code provides for an award of up to - of taxes, penalties, and interest recovered for whistleblowers... Read More >
Medicare Reimbursement Reprieve and REALITY
Medical practices are breathing a sigh of relief over Congressional action to postpone the anticipating . payment cuts that were set to begin next month here was official word from... Read More >
Track codes under capitation
If you work under capitated contracts, file and track plan patients CPT codes, even though you get paid on a per-member per-month basis instead of an FFS basis. Some capitated... Read More >
S Corp Shareholders Can Deduct Health Insurance Premiums
On December , , the IRS issued guidance that allows S corporation shareholders with health insurance policies in their own names, rather than in the S corporation s name, to... Read More >
2008 Form W-4 Available
The IRS has released the final version of the Form W- Employee s Withholding Allowance Certificate . The form remains unchanged from last year except for the provision that the... Read More >
Refer to the third level of compliance to enforce plan action
When contract management personnel are not able to resolve an issue, refer to a third level of contract compliance to garner action from the plan. The following are a few... Read More >
Contract negotiating tips when dealing with HSAs
Although there may be opportunities to negotiate with patients in terms of fees, most HSA products will be tied to PPO networks. Look at how your contracts are written Examine... Read More >
CMS expands payment restriction for diagnostic tests
nbsp Centers for Medicare amp Medicaid Services CMS has expanded the antimarkup provision covering diagnostic tests in the final Medicare physician fee schedule. The antimarkup rule applies when a physician... Read More >
ASCs Save Medicare $464 Million Annually
From Becker s ASC Review An independent report on Pennsylvania s ASCs has turned up some interesting statistics. The report, entitled Financial Analysis , Volume Two, reported a total of... Read More >
OIG Posts Fall Semiannual Report
The following was provided by David Zetter djzetter cavmich.com to the members of the National Society of Certified Healthcare Business Consultants www.nschbc.com OIG today posts its final Semiannual Report to... 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 >
