Blog

September 9, 2019

Questions about tax payments and penalties come up all year long. Taxpayers can find most answers to these questions on IRS.gov. They can head over to the Let Us Help You page, which features links that take users to information and resources on a wide range of topics related to penalties and payments. Payments Payment …

Read the full article →

{ 0 comments }

August 26, 2019

It is no secret; a happy team leads to more satisfied customers and patients.  Those that are engaged in their roles within the team and feel satisfied by the work they do, tend to give more on the job and care about the experiences their customers have.  In fact, when it comes to larger corporations, …

Read the full article →

{ 0 comments }

August 14, 2019

The IRS has unveiled its latest online tool, the “Tax Withholding Estimator.” The estimator, which replaces the “Withholding Calculator,” assists workers, retirees, self-employed individuals, and other taxpayers in determining how much income tax should be withheld from wages and pension payments. Among other things, the estimator features (1) plain language to improve user comprehension; (2) …

Read the full article →

{ 0 comments }

Handling Unhappy (or Irate) Patients

August 9, 2019

The following is a situation that recently happened in a physician’s office:  A patient came in to complain about the “no show” charge of $50. The administrator along with the billing manager went out to meet with him. His first comment was that he only wanted to speak with the “top person” in the office. …

Read the full article →

Medicare’s Physician Fee Schedule Proposed Rule: Understanding 3 Key Topics Listening Session — August 12

August 7, 2019

Monday, August 12 from 1-2:30 pm ET Register for Medicare Learning Network events. Proposed changes to the CY 2020 Physician Fee Schedule are aimed at reducing burden, recognizing clinicians for the time they spend taking care of patients, removing unnecessary measures, and making it easier for clinicians to be on the path towards value-based care. …

Read the full article →

Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations

August 5, 2019

In MLN Matters SE19007 “Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations” notifies providers that Medicare is now requiring the exact match of all addresses for practice locations that are listed on provider claim submissions to Medicare. Medicare began auditing in July 2018 for purposes of reinforcing Chapter 1, Section 170 …

Read the full article →

Market Share and Competitor Pricing from CMS Data

August 2, 2019

From my good friend and colleague Nate Moore: CMS recently released the 2017 Provider Utilization File.  That data provides an opportunity for savvy practice managers to get a sense of their market share, especially for Medicare patients.  The data can also help practices see what their competitors are charging for services, by procedure code.  The …

Read the full article →

PFS: Proposed Policy, Payment, and Quality Provisions Changes for CY 2020

July 30, 2019

On July 29, CMS issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020. This proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a health …

Read the full article →

Managing by the Numbers

July 25, 2019

One of my prior articles cautioned readers on the use of overhead rates as a financial indicator of practice performance. A colleague of mine calls it “diddling” the overhead since overhead is an easy target in every medical practice. The point I want to make now is that numbers are important in managing a business. …

Read the full article →

Hospital Off-Campus Outpatient Department Reporting Requirements

July 24, 2019

Changes to editing for appropriate reporting of off-campus outpatient department locations will impact all providers. Payment impacts related to this reporting will only impact those providers paid under the Outpatient Prospective Payment System (OPPS). Hospital OPPS providers are required to include all practice locations on the CMS 855A enrollment form. If a hospital claim is …

Read the full article →