Wins and Losses

March 17, 2017

Take a moment to review the last year. Think about the triumphs, the failures, the unexpected wins and the unanticipated losses. A year is made up of all these things, but valuable lessons remain hidden unless you give yourself the time and space to reflect on them. To start, think about the goals you set …

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New Guidebook on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

March 16, 2017

MACRA focuses on the quality of services rather than the number of services provided by your practice. Your Medicare revenue can see a reduction of up to 4% or an increase of up to 12%, which entirely depends on the quality reporting activities that your practice undertakes this year. 2017 is a transition year for …

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Two Words Can Soothe Patients Who Have Been Harmed: We’re Sorry

March 15, 2017

For patients and their families killed or maimed by medical errors, Crisp’s experience — in which doctors clam up and hospitals deny wrongdoing and aggressively defend their care — remains standard operating procedure in most institutions.    

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Revised CMS-855R Reassignment of Medicare Benefits Application

March 14, 2017

Physicians and non-physician practitioners must use the revised CMS-855R (Reassignment of Benefits) application beginning January 1, 2017. Per the Centers of Medicare and Medicaid, Medicare Administrative Contractors can no longer accept the (11/12) version of the application as of December 31, 2016. The revised form makes the primary practice location section optional. However, this information …

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Quality Payment Program Short Training Videos Now Available

March 7, 2017

CMS has created a number of new, self-paced educational videos that are now available on YouTube ( and the CMS Events page. These videos help to explain aspects of the Quality Payment Program in approximately 10 minutes or less. Quick general overview: What is the Quality Payment Program? Advanced Payment Models (APMs) Introduction to Advanced …

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Avoid a 4% Medicare Cut

March 6, 2017

January 1, 2017 – December 31, 2017 is the first official participation year for the new Medicare payment system. 2017 is considered a “transition year” by Medicare. Click here for instructions on how to avoid the payment cut, courtesy of the Harris County Medical Society.  

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Common medical practice management screw-ups and how to fix them

February 27, 2017

Managers are often excellent workers promoted from the ranks; they may know how to do the job, but they may not know how to manage. Managers, just like other staff members, can develop habits that can derail the momentum and culture at your physician organization. Here are three critical management derailers — and solutions you …

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IRS Releases Tax Time Guide: Use Tools to Answer Tax Questions

February 24, 2017

The Internal Revenue Service today encouraged taxpayers to take advantage of the online tools and resources available on as the IRS expects heavy call volume during the last two weeks of February. This is the first in a series of 10 IRS tips called the Tax Time Guide. The guide is designed to help …

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HIPAA risk analysis tool available

February 23, 2017

In case you missed it, the HHS Office for Civil Rights (OCR) and Office of the National Coordinator of Health Information Technology (ONC) released last year a downloadable Security Risk Assessment (SRA) Tool to assist providers and professionals to perform HIPAA compliance risk assessments. It was designed primarily for small and medium-sized covered entities and business …

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Negotiating a Health Plan Contract

February 21, 2017

Many physicians assume that attempting to negotiate a health plan contract is hopeless — but that is a myth. Practices have been successful in negotiation attempts, winning both payment and term changes in their contracts. The first step in securing a better contract is deciding if you want to contract with the health plan in first place, …

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