Addressing Denied Claims in Physician Compensation Plans I often find physician compensation plans that use a Work RVU based formulary fail to take in to account denied claims charges. When... Read More >
nbsp I read today in the Accounting Today Newswire that the late actor James Gandolfini s untimely death last month at the age of has apparently left his family facing... Read More >
nbsp OIG has launched an online submission process for the Self-Disclosure Protocol. The SDP is for providers who wish to voluntarily disclose self-discovered evidence of potential fraud to OIG. Self-disclosure... Read More >
nbsp Some of the thorniest territory relates to staffing, especially when it comes to deciding managers and administrators roles in the new practice. Problems often arise when physicians avoid the... Read More >
nbsp The Obama administration Tuesday announced a one-year delay in the Affordable Care Act s requirement that businesses with or more employees offer coverage to their workers or pay a... Read More >
A culture of fear enables process problems to remain undetected or unreported in your medical practice. Performance improvement depends to a great extent on whether your staff members feel comfortable... Read More >
Anybody who works in or deals with physician medical practices knnow about the day to day struggles of how to keep everyone happy in a very uncertain era. I find... Read More >
AMA Health Insurer Report Card Key Findings and ABI The AMA publishes an annual report card of the claims revenue cycle activities of the major commercial health insurers and Medicare.... Read More >
nbsp This document is a collection of annual high level data that illustrate facts about Medicare Shared Savings Program ACOs such as, where ACOs are located, as well as ACO... Read More >
http://www.nytimes.com/2013/06/15/health/medicare-panel-urges-cuts-to-hospital-payments-for-services-doctors-offer-for-less.html?_r=0 http://medpac.gov/documents/Jun13_FactSheet.pdf http://medpac.gov/documents/Jun13_EntireReport.pdf Read More >
nbsp Shasta Regional Medical Center SRMC has agreed to a comprehensive corrective action plan to settle an investigation by the U.S. Department of Health and Human Services HHS about potential... Read More >
nbsp Blaming low compensation and the hassles of healthcare reform, of general practice physicians say they plan to leave the practice of medicine over the next decade, according to a... Read More >
Review policies and procedures to ensure they are up to date and comprehensive. Review your files and documentation to ensure that appropriate patient information safeguards exist. Assess your organization s... Read More >
Here are some typical actions by the medicadl practice Notices to staff do immediately after decision was made Notices to patients usually goes out about days before departure date Notices... Read More >
nbsp HHS has provided online tools to assist providers protect patient data in mobile devices, such as laptops, tablets, and smartphones. The initiative is called Mobile Devices Know the RISKS.... Read More >
nbsp On May , the DOL issued eagerly anticipated guidance regarding the notice of health insurance exchanges that employers must distribute to employees during , including model notices that employers... Read More >
Principles of Extraordinary Leadership Empowering Teams for Success . They Remove the Nonperformers Average bosses sometimes hire somebody who can t do the job but then keep that person on... Read More >
Lessons from Tuomey Healthcare Stark Law Compliance and Legal Precedents From the Health Law Daily by Wolters Kluwer On May , , the Department of Justice DOJ filed a motion... Read More >
nbsp CPT designed modifiers to represent the extra physician work involved in performing a procedure because of extenuating circumstances present in a patient encounter. Modifier represents those extenuating circumstances that... Read More >
nbsp Idaho State University ISU has agreed to pay , to the U.S. Department of Health Human Services HHS for violations of the Health Insurance Portability and Accountability Act of... Read More >
nbsp Physicians know who their best employees are hardworking, competent, loyal and emotionally invested in the practice and its patients. They re essential to the quality care doctors provide each... Read More >
nbsp A client called to my attention that a seemingly very HIPAA savvy patient she had recently seen refused to allow her to make a copy of his insurance information.... Read More >
nbsp Just over three years ago, Congress enacted legislation that overhauls the U.S. health care system and affects nearly all taxpayers, many employers, and many elements of the health care... Read More >
nbsp This article is based on Change Request CR which informs Medicare contractors about changes to the Multiple Procedure Payment Reduction MPPR . The MPPR on diagnostic imaging applies when... Read More >
nbsp Compliance with the Privacy and Security Rules of HIPAA is not easy. However, the U.S. Department of Health and Human Services HHS Office for Civil Rights OCR website is... Read More >
nbsp Law , New York May , , PM ET The Internal Revenue Service on Friday plugged a loophole that could have let companies skirt the health reform mandate that... Read More >
nbsp Proposed Regulations on Minimum Value The IRS has issued proposed regulations explaining how to determine if an employer-sponsored group health plan provides minimum value. The term minimum value, which... Read More >
nbsp In December , the IRS issued proposed regulations REG- - for the net investment income tax under Sec. that went into effect on Jan. , . At the same... Read More >
The Patient Centered Medical Home is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where... Read More >
nbsp A new fast fact is now available on the MLN Provider Compliance web page. This web page provides the latest MLN Education Products and MLN Matters Articles designed to... Read More >
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