Blog

October 17, 2017

From the Bricker & Eckler law firm On October 13, 2017, the U.S. Attorney’s Office for the Middle District of Florida announced a $448,000 settlement with the First Coast Cardiovascular Institute (First Coast) stemming from its alleged failure to report and return a $175,000 overpayment in a timely manner. Under the 60-Day Overpayment Rule, health …

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October 16, 2017

Physicians already have enough stress in their working lives without having to worry about finances at home. Talk openly and regularly with your spouse or partner about finances, acknowl­edging different styles, says Olivia Mellan,1 money psychologist and author of Money Harmony. Follow Mellan’s 10 suggestions for successful conversations about money: Pick a low-stress time to …

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October 11, 2017

Register for Medicare Learning Network events. On September 18, 2017, CMS made the 2016 Annual Quality and Resource Use Reports (QRURs) available to all group practices and solo practitioners nationwide. This event provides an overview of the report and explains how to interpret and use the information. 2016 Annual QRURs show how groups and solo …

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Medical Residents Not Exempt from FICA Taxes

October 10, 2017

The state of Utah executed an agreement under Section 218 of the Social Security Act that exempted full-time students from FICA taxes. This agreement was later modified to include part-time students. Following this, the University of Utah sought FICA tax refunds with respect to its medical residents for tax periods dating back to 1995. The …

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If you die, can your estate hire a locum tenens to see patients?

October 6, 2017

Here’s an interesting question: May a locum tenens doctor fill in for a deceased doctor? Answer per Part B News (https://pbn.decisionhealth.com/): No. You may not report services with a deceased provider’s name and billing identification information, therefore you may not use a locum tenens provider to stand in for that doctor. According to Medicare administrative …

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Have you thought about retirement planning lately?

October 5, 2017

You were young and you just started your career a couple of years ago. You still have many years of work ahead of you. But then, someone talked to you about retirement planning. While he passionately shared his excitement about his plans, you pretended to listen when your mind was wandering around. “Retirement plan is …

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CMS Announces MIPS Milestone

October 4, 2017

Courtesy of Healthcare Compliance Pros: According to the CMS announcement, it is not too late to participate in the first year – the transition year – of the Merit-Based Incentive Payment System (MIPS). With their announcement CMS appears to be giving a hint that the best odds of receiving a positive payment adjustment is to …

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Do you use Modifier AI when billing Medicare?

October 3, 2017

Modifier AI is used to identify the principal physician of record. It is an informational modifier. Appropriate Use To identify admitting or attending physician who oversees the patient’s care during a hospital admission; Admitting physician appends to the initial inpatient hospital care evaluation and management service (99221-99223); Admitting physician appends to the initial nursing facility …

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Did you get sucked in to the Equifax data breach?

October 2, 2017

Odds are, you or someone you know were impacted by the Equifax data breach. The breach, which is estimated to have impacted 143 million Americans – nearly half the US population – is considered one of largest data breaches in history. Adding insult to financial injury, Equifax has put the onus on consumers to do …

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PQRS 2016 Annual QRURs Webcast — October 19

September 28, 2017

Register for Medicare Learning Network events. On September 18, 2017, CMS made the 2016 Annual Quality and Resource Use Reports (QRURs) available to all group practices and solo practitioners nationwide. This event provides an overview of the report and explains how to interpret and use the information. 2016 Annual QRURs show how groups and solo …

Read the full article →