Blog

November 15, 2018

Which cycle does your office currently have? Hint – You better have the first one! 1. More Active Cycle Once your practice determines the balance is the patient’s responsibility: Send a statement the day you receive the explanation of benefits. Send one additional statement in 30 days, followed by: A collection letter at 45 days, …

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November 14, 2018

Last week CMS released a letter  to clinicians outlining how the agency is reducing burden through reform of documentation and coding requirements. IU encourage you to read and share with your fellow physicians and office staff.

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November 12, 2018

We all hear, read, and talk about physicians selling their medical practices to hospitals. And we all hear, read, and talk about the pros and cons of doing so. I recently  had a client sell out to a hospital and thought you might be interested in this little snippet from an email I received recently: …

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Quick read to learn more about online reviews

November 8, 2018

Online reviews are the new word of mouth. They play a significant role in how patients ultimately find and choose your physician practice. I’m finding that healthcare professionals that want to separate themselves from their competition are placing more emphasis on collecting and managing online reviews on sites like Google and Facebook. In this free …

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Medicare’s new evaluation & management code changes – Are you confused?

November 7, 2018

There seems to be a lot of confusion that the E/M codes and levels are changing in 2019.  This is NOT accurate.  The changes to the levels of E/Ms and reimbursement will not occur until 2021. Here is what is happening in 2019.  Everything is spelled out in this link: https://www.cms.gov/newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year For CY 2019 and …

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CMS Releases Final Rule for the 2019 Quality Payment Program

November 5, 2018

The Centers for Medicare and Medicaid Services (CMS) issued its policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Final Rule. The provisions in the rule build on the foundation established in the first two years of the program, and are reflective of the feedback we received …

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Ophthalmology Services: Questionable Billing and Improper Payments per Medicare

November 1, 2018

The Office of the Inspector General (OIG) reports that Medicare is vulnerable to fraud, waste, and abuse for wet Age-related Macular Degeneration (wet AMD) and cataracts: Administration of Lucentis injections for wet AMD more than once every 28 days (based on local coverage determinations) Billing for a second cataract surgery on the same eye Submitting …

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Physician Practice Overhead Savings in Unexpected Places?

October 31, 2018

Unfortunately, it’s much easier to cut down on expenses than it is to increase profits. But that doesn’t mean your practice must cut jobs or benefits to improve the bottom line and cut costs while delivering quality service. Here are a few suggestions: Press for timely collections. Customers who pay you 120 days past-due are …

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Have you thought about succession planning for your medical practice?

October 30, 2018

Great article by the Coker Group Coker Group Website: https://cokergroup.com/ Preparing for 2019 entails developing budgets, sales objectives, and other forward-thinking activities. Another critical action to consider is your organization’s talent needs for the upcoming year. Assessment of your organization’s talent pool should be part of your ongoing succession planning. Succession planning—a process for ensuring …

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Items and Services Not Covered under Medicare Booklet

October 25, 2018

A revised Items and Services Not Covered under Medicare Booklet is available. Learn about: Four categories not covered under Medicare Applicable exceptions

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