Blog

June 28, 2017

The Federal Trade Commission has filed a lawsuit in North Dakota federal court to block the merger of two Bismarck-area health care providers, claiming the deal would violate antitrust laws by reducing competition for an array of services in the area.  The FTC, along with the North Dakota attorney general, is seeking to block Sanford …

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June 26, 2017

The Centers for Medicare & Medicaid Services’ (CMS) Annual Call for Measures and Activities for the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) is open until June 30, 2017. CMS encourages clinicians, measure stewards, organizations, and other stakeholders to identify and submit measures and activities to be considered for the …

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June 23, 2017

Modifier 25 is defined as a significant, separately identifiable Evaluation and Management (E/M) service by the same physician or other qualified health care professional on the same day of the procedure or other service. Often questions are posed regarding whether to bill an E/M visit on the same day as a procedure and/or other services …

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CMS Proposes Quality Payment Program updates to increase flexibility and reduce burdens

June 21, 2017

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). CMS’s goal is to simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability …

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Merit-based Incentive Payment System (MIPS) Updates

June 15, 2017

MIPS Group Reporting: Registration Period Ends June 30 Groups planning to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey to submit data for the Merit-based Incentive Payment System (MIPS) must register by June 30. For More Information: Group Registration for CMS Web Interface and …

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On you staying on top of tendencies and movements to protect and build your physician practice?

June 14, 2017

A while back I had the opportunity to work with a physician practice in south Texas community.  This little town had but one significant employer (and one main payer), a large regional manufacturing plant – and the plant was rumored to be on the chopping block, as the company began off-shoring many of its manufacturing …

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Advice from OCR regarding HIPAA

June 13, 2017

“OCR Enforcement Update” was the topic of the presentation by Iliana Peters, HHS Office for Civil Rights (OCR) Senior Adviser for HIPAA Compliance and Enforcement at the 2017 Health Care Compliance Association (HCCA) Compliance Institute. She provided an update on enforcement, current trends, and breach reporting statistics.  Peters stated that the OCR continues to receive and …

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Doctor Escapes Penalty for Inaccurate Returns by Proving Reliance on Return Preparer

June 13, 2017

The Tax Court held that a doctor was not liable for a 20 percent negligence penalty where she exercised ordinary business care and prudence by relying on her long-term tax return preparer, whom she believed to be a competent professional, to accurately report gain from a large stock sale on the appropriate year’s tax return. …

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Medicare Quality Payment Program Overview Web-Based Training Course Now Available

June 8, 2017

A new Quality Payment Program Overview Web-Based Training course is available through the MLN LMS. Learn about: Origin and goals of the Quality Payment Program (QPP) Four performance categories within the Merit-based Incentive Payment System Three criteria to be considered an Advanced Alternative Payment Model Resources available for QPP Note: You will need to log …

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Potential Benefits Available through Family Limited Partnerships

June 6, 2017

There are many reasons for the continuing popularity of FLPs. Benefits of using an FLP to transfer assets include the following; be sure you talk to your estate planning attorney about FLP advantages for you and your family: Income Shifting. Although much of the unearned income of children under age 24 is taxed at the …

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