Handling Unhappy (or Irate) Patients

May 14, 2019

Stay calm – They might be angry, but they are angry at what’s happened to them, not at you.  Your frame of mind and demeanor can greatly influence the conversation – either positively or negatively. Know the problem – Do not start off on a solution without having a complete understanding of the problem.  Don’t …

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Laboratory Blood Counts: Provider Compliance Tips

May 10, 2019

In 2017, the Medicare fee-for-service improper payment rate for blood counts was 19.2 percent with projected inaccurate payments of $56.6 million. Improper payments resulted from: Insufficient documentation – 89 percent Incorrect coding – 8.3 percent No documentation – 2.7 percent Prevent denials by reviewing the Provider Compliance Tips for Laboratory Tests – Blood Counts  Fact …

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CMS Releases All-Payer Guidance – CMS Quality Payment Program

May 8, 2019

CMS is collecting information and documentation to determine whether payment arrangements qualify as Other Payer Advanced Alternative Payment Models (APMs) under the Quality Payment Program (QPP). Payers with commercial payment arrangements may submit Other Payer Advanced APM determination requests for those payment arrangements. CMS has released a document to guide payers through the All Payer …

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Practice management (PM) system tools to improve practice efficiencies

May 7, 2019

Administrative duties are a necessary evil every practice deals with. Not only do tasks like coding and documentation take valuable time away from treating patients, they can lead to a loss of revenue if not handled correctly. According to recent surveysx, the majority of practicing physicians spend more than 20% of their time – the …

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Diagnostic medical imaging services company pays $3,000,000 to settle breach exposing over 300,000 patients’ protected health information

May 6, 2019

Touchstone Medical Imaging (“Touchstone”) has agreed to pay $3,000,000 to the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS), and to adopt a corrective action plan to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Security and Breach Notification Rules. Touchstone, based in Franklin, …

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If you’re going to make it, Make sure you keep it

May 3, 2019

As a CPA and healthcare consultant, one of the things that continues to concerns me is employee theft within a medical practice (or any other healthcare entity for that matter). You trust your staff, right? You know them to be loyal and dedicated individuals who would never steal from the practice, right? Unfortunately physician practices …

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HHS Announces Final Conscience Rule Protecting Health Care Entities and Individuals

May 2, 2019

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced today the issuance of the final conscience rule that protects individuals and health care entities from discrimination on the basis of their exercise of conscience in HHS-funded programs. Just as OCR enforces other civil rights, the rule implements full and …

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Stay involved in the financial side of your practice to prevent fraud

May 1, 2019

To defend against fraud, physicians must get involved in the day-to-day operations of the office, at least in a limited way. To protect yourself, put the following financial controls in place:  Sign all your checks yourself. Keep the office manager off the signature card and don’t use a signature stamp. Don’t sign a check unless …

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Physician practice metrics to benchmark and monitor

April 30, 2019

Need a complete list of non-accounting metrics to benchmark and monitor; here you go (If any others please send to me at Gross Collection Percentage Net Collection Percentage Days in A/R A/R Ratio A/R in excess of 90 days old Clinical/Procedure/Ancillary Encounters Provider Work RVUs Charges by Payor          Collections by Payor Payor Collections …

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More Doctors Choosing Hospitals over Private Practices

April 26, 2019

April 25, 2019 By: Ashley Herzog Published by The Heartland Institute From July 2016 to January 2018, hospitals in the United States acquired approximately 8,000 private medical practices. Over the same period, 14,000 physicians left private practice to work for hospitals. In 2012, hospitals operated 35,700 private practices. By 2018, that number had increased to …

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