Blog

June 21, 2018

CMS updated the Quality Payment Program Look-Up Tool with 2018 Merit-based Incentive Payment System (MIPS) eligibility and Qualifying Alternative Payment Model (APM) Participant (QP) data. Clinicians, enter your National Provider Identifier (NPI) to find out: Whether you need to participate in MIPS in 2018 Your Predictive QP status You can also check 2018 MIPS clinician …

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June 20, 2018

At the 2018 HCCA Compliance Institute HIPAA Policy and Enforcement Update, it was reported that since September 2009 through the end of 2017 there were 2178 reports filed with the HHS OCR involving breaches affecting 500 or more individuals. In addition to large breaches, there were over 300,000 reports of breaches of protected health information …

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June 19, 2018

The IRS never initiates correspondence via email. Do not click on any links, open or respond to any email that claims to be from the IRS, Install and maintain a powerful anti-virus and firewall software system, Review your credit report annually and block it from new credit requests if acceptable. It is available annually for …

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Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Web-based Training

June 14, 2018

A revised Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Web-Based Training course is available through the Learning Management System – Opens in a new window . Learn about: Three types of physician business relationships that may raise fraud and abuse concerns Federal laws that combat fraud and abuse The “red flags” that could …

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Hiring a new receptionist for your physician office

June 12, 2018

Your practice is looking for a new medical office receptionist – So what are some of the elements I should include in the job description? The job description you decide on will obviously depend on the size and needs of your practice. Some offices are so big that the receptionist handles standard receptionist duties, such …

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Healthcare compliance enforcement is “full steam ahead”

June 10, 2018

The American Health Laywers Association reports that the Department of Health and Human Services Office of Inspector General (OIG) expects investigative recoveries of $1.46 billion for the first half of fiscal year (FY) 2018, the agency said in its semiannual report to Congress. Last year at this time, OIG reported more than $2.04 billion in expected …

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New Medicare Card: MBI Look-up Tool Available through your MAC

June 7, 2018

All Medicare Administrative Contractor (MAC) secure portal Medicare Beneficiary Identifier (MBI) look-up tools are ready for use. If you don’t already have access, sign up for your MAC’s portal to use the tool. Submit four data elements about your patient through the tool, and we will return the MBI if we have already mailed the …

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Base Medical Coder Job Description on These Traits

June 5, 2018

When visiting a client’s office, I found out the office manager was in the process of hiring a new full-time medical coder and had been tasked with writing job description for this position. She asked my if I could offer up any tips on how she should go about this task. Well first be sure to consult …

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MIPS Preliminary Performance Feedback Data Is Available

June 4, 2018

If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can review your preliminary performance feedback. Please note: this is not your MIPS final score or feedback. Your final score and feedback will be available in July.  Between now and June 30, 2018, your score could change based …

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Mind This Advice if Eligibility Denials Are All Too Common

June 1, 2018

Patients who are ineligible for benefits that you thought they had are a potential headache for every medical practice. In fact, some experts say it’s the most common billing mistake that medical practices make that is causing them denials or recouped payments. Eligibility denials are by far the most common denial. Here are some tips on …

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