nbsp Continuing efforts to identify and stop Silent PPO arrangements is essential. At a minimum, physicians signing PPO contracts should ensure the following That discounts will be extended only to... Read More >
Medicare Resource Use Reports Twenty-thousand physicians in four Midwest states received a glimpse into their financial future this past March. Landing in their e-mail inboxes were links to reports from... Read More >
nbsp The physician practice manager s effort to control operating overhead never ends. It s not easy to hold overhead in line year to year But monitoring a few aspects... Read More >
nbsp Opportunity. The opportunity to steal is just too great for some people to resist. Situations that increase this opportunity include physicians not engaged in the dayto-day business, large amount... Read More >
nbsp The following are identified compliance risk areas for physicians Unbundling soliciting, offering, or receiving a kickback, bribe or rebate routine waiver of copays and deductibles, regardless of need billing... Read More >
How Can You Manage Accounts Receivable? With current economic instability and looming decreases in payer reimbursement, your practice needs to retain the maximum amount of each dollar earned. But because... Read More >
nbsp While not intended as a legal document, did you know your personnel manual may have the force of an employment contract? If you haven t done so in a... Read More >
Many medical practices are you tired of losing good employees to the competition? They are looking for ways to stop the revolving door of hiring one good employee only to... Read More >
nbsp In May , the Department of Health and Human Services Office of Inspector General OIG issued a report entitled Coding Trends of Medicare Evaluation and Management Services. This study... Read More >
I don t know about you but I really like to read blogs. I subscribe to numerous blogs and it seems I always walk way learning something new after I... Read More >
nbsp A good indicator of how well the office is collecting its accounts is the percentage of receivables that is more than days old. If the percentage is unusually high,... Read More >
nbsp Back in April Aetna informed physicians in Texas that they were being deselected from the Aetna network effective July st, . Apparently this action is singular to Texas it... Read More >
nbsp To me the most powerful form of leverage in any managed care negotiation is utilization and outcomes data i.e. quality . Practices and their physician owners who are progressive... Read More >
nbsp We all know how important efficiency is to any medical practice, especially its billing and collection functions. To maximize your billing and collection processes, you need to dig deeper... Read More >
nbsp Medical practices can run a serious risk if its patients are not recalled for follow-up as required by medical protocols and just as important, also lose revenues. Practices can... Read More >
nbsp I m a strong believer of planning for your retirement unfortunately most physicians are not very good at it if they attempt to do it at all. If you... Read More >
nbsp Does this scenario sound familiar Medical practices delegates all oversight, supervision, and daily office management to the practice administrator yet only to find out later that things are REALLY... Read More >
Best Option Attach fee schedule and require your consent to changes. The best way to plug this loophole in your plan contracts is to attach the fee schedule to the... Read More >
RVU Compensation For Physicians I m often asked about compensation modeling, especially during these times when there are continued pressures on physician practice net income. Many practices, especially those owned... Read More >
In this case, the OCR found that, on a daily basis, over a period of four years, Phoenix Cardiac Surgery had transmitted ePHI from an Internet-based email account to the... Read More >
nbsp In Texas, a -year-old woman has been charged with felony theft after police say she stole nearly , over several months at the doctor s office where she was... Read More >
Jamie over at e merge https www.emergewith.us turned me on to this list at TechRepublic review it how many of these traits do you or your practice admininstrator possess? .... Read More >
nbsp I was watching a special on CNBC about healthcare fraud and it reminded me again about the most common coding abuses by physicians and their billing staff. Compliance in... Read More >
nbsp CMS s Shared Savings Program ACOs, which began on April , will serve an estimated , beneficiaries in states. The group has collectively more than , physicians, hospitals and... Read More >
nbsp Phoenix Cardiac Surgery, P.C., of Phoenix and Prescott, Arizona, has agreed to pay the U.S. Department of Health and Human Services HHS a , settlement and take corrective action... Read More >
nbsp Interesting article in the Washington Post can Medicare really move this way? I doubt it very hard to make an elephant dance. http www.washingtonpost.com national health-science medicare-moves-to-tie-doctors-pay-to-quality-and-cost-of-care gIQAFq IIT... Read More >
The National Practitioner Data Bank NPDB is an electronic repository of all payments made on behalf of physicians in connection with medical liability settlements or judgments as well as adverse... Read More >
nbsp Consider the following . Flag all denied charges, usually my making a copy of the related EOBs and placing them in a manilla folder. . Hold a staff meeting... Read More >
nbsp These five comparatively unknown insurance coverages can save you thousands or more of dollars. And they aren t very expensive. Almost everyone recognizes the need for certain basic kinds... Read More >
By now the merger committee has the due diligence process underway. The merger team has been interviewed and assembled. The initial funding for this due diligence process has been estimated... Read More >
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