Pediatric Physician Medical Practice Settles Government HIPAA Charges

April 24, 2017

An Illinois pediatric digestive health practice has settled alleged Health Insurance Portability and Accountability Act violations stemming from the disclosure of more than 10,000 patients’ health information to a document-storage company without securing assurances that the data would be safeguarded, the U.S. Department of Health and Human Services announced last Thursday.  The Center for Children’s Digestive …

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Oops I need to amend my tax return

April 19, 2017

You can fix mistakes or omissions on their tax return by filing an amended tax return. Here are some helpful tips from the IRS: File using paper form. Use Form 1040X, Amended U.S. Individual Income Tax Return, to correct the tax return. Taxpayers can’t file amended returns electronically. They can obtain the form on …

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Nursing Home Manager Liable for Penalties for Failing to Pay Over Payroll Taxes

April 17, 2017

A nursing home manager was liable under Code Sec. 6672 for the employee withholding taxes he willfully failed to pay over to the IRS. His claims that he used all available funds to rescue nursing home patients from horrific conditions and to avoid having to lay off hundreds of employees did not meet the reasonable …

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Billing Medicare for Ambulance Transports

April 13, 2017

In a September 2015 report, the Office of the Inspector General (OIG) released results of a study of Medicare Part B ambulance claims. According to the report, almost 20 percent of ambulance suppliers had inappropriate and questionable billing for ambulance transport, creating vulnerabilities to Medicare program integrity. The OIG identified a number of key problems, …

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How To Help Kids Save Money

April 12, 2017

All adults know that money doesn’t grow on trees, but that’s not necessarily true for kids. Help your kids, grandkids, or other children in your life tuck away their extra nickels and dimes for a rainy day. 1. Bank it. Encourage kids to decorate four separate piggy banks – one each for Saving, Spending, Investing, …

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April Quarterly Provider Update Available From CMS

April 6, 2017

By publishing this Update, CMS intends to make it easier for providers, suppliers, and the general public to understand the changes CMS is are proposing or making in the programs they administer (for example, Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). CMS publishes this Update to inform the public about the following: Regulations …

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Are you a “fraud prone” physician practice?

April 4, 2017

The following are a list of issues that should raise some embezzlement red flags and call for immediate attention: Diminishing cash flow when receipts are strong Receipts do not seem congruent with patient visits Increasing accounts payable and A/R balances Transactions lacking documentation or approval Patient and payer complaints about recording of payments Significant number …

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Fee For Service Advance Medicare Beneficiary Notice of Noncoverage

March 28, 2017

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. While there are no changes to the form itself, providers should take note of the newly incorporated expiration date. The Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is issued …

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Know these Facts Before Deducting a Charitable Donation

March 27, 2017

If you gave money or goods to a charity in 2016, you may be able to claim a deduction on your federal tax return. Taxpayers can use the Interactive Tax Assistant tool, Can I Deduct my Charitable Contributions?, to help determine if their charitable contributions are deductible. Here are some important facts about charitable donations: …

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Members of Ophthalmologist Group Charged with Illegal Boycott of Health Plan

March 22, 2017

An ophthalmologist cooperative in Puerto Rico settled charges with the Federal Trade Commission (“FTC”) earlier this year that it orchestrated an illegal boycott of a health plan. The FTC alleged that the cooperative urged its members to refuse to sign an agreement with the health plan that would have passed through lower Medicare reimbursements to …

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