Get proof that member voluntarily authorized billing auto insurer
It s a growing trend for providers to bill treatment of a member injured in an auto accident to the member s auto insurer before or instead of billing the... Read More >
2006 Proposed Medicare Physician Update
From Part B News www.partbnews.com The proposed physician fee schedule appears in next Monday s Federal Register. RBRVS FeeCalc gives you a preview of what s in the rule here,... Read More >
Identifying hidden cost problems in Physician practices
Whether you directly measure it, every activity taking place in your practice has its own cost. Some are easy to identify others such as transcription, ordering tests, and attending meetings... Read More >
Medicare CAP Drug Program Delayed
In an announcement this week from Medicare CMS Effective August , , CMS is suspending the current CAP vendor bidding process for which bids were previously due August , .... Read More >
Whistleblower alleges Medicare fraud at Florida imaging centers
nbsp A Florida radiologist has been named as a defendant in a whistleblower lawsuit alleging Medicare fraud though improper lease arrangements, kickbacks, and upcoding. The lawsuit was brought against Dr.... Read More >
’06 Medicare payment cuts to doctors proposed
From the August edition of the Houston Chronicle The federal government proposed on Monday reducing payments to doctors through Medicare by about . percent next year. The reduction is mandated... Read More >
Three steps to avoid accepting partial payments from plans
Some health plans put the words payment in full on reimbursement checks that are made out for less than the full amount of the provider s claims and that should... Read More >
House Passes Malpractice Limits
Legislation that would limit damages for medical malpractice has passed the House for the third consecutive year. The bill, approved Thursday by a vote of - , would cap awards... Read More >
Diabetes Screenings Now Payable
Remember that diabetes screenings are now payable by Medicare. You can bill Medicare twice per year for pre-diabetic patients and you can bill once a year for patients who do... Read More >
Invite the right physician associates into co-ownership
Partners intent on staying independent must still offer new physicians the opportunity to become co-owners. Adding new partners clearly holds value. Having physician-owners of varying ages best serves a practice,... Read More >
Send plan a notice if an incorrect payment violates the contract
Like most providers, you probably dread having to cope with the administrative hassle of dealing with a plan that pays you incorrectly. But if you re confident that your claim... Read More >
Physician Panic
How does a physician define panic ? When his or her take home pay begins to go down. Unfortunately for many physicians, this is becoming commonplace. The real tragedy is... Read More >
Conduct Background Checks for Physician Practice Employees
In addition to conducting reference checks when hiring new medical practice employees, you should also do a complete background check. Background checks can include the following Social security verification Criminal... Read More >
Bringing in a Physician Entity to a Malpractice Suite
There is a belief out there that physician entities, like physician corporations, never have to pay out on a malpractice suit. As most of us know, that is not necessarily... Read More >
Medicare Part D – The Drug Benefit
Nearly . million seniors with high prescription drug costs will still be responsible for thousands of dollars of expenses even after Medicare s drug benefit begins in January, according to... Read More >
Wonderlic Testing for Physician Practice Applicants/Employees
One thing I see out there is that more and more physician practices are Wonderlic testing their employees and employee applicants. Since it is so hard to find good employees... Read More >
MEDPAC March 05 Report to Congress
MedPAC s March report to Congress contained the following list of recommendations to lawmakers directed to imaging operations and practices . HHS approve coding edits for imaging studies to detect... Read More >
Recommended Physician Managed Care Newsletter
Take a look at the newsletter Private Payer News. From the Decision Health website Find out what private payers won t tell you with a subscription to Private Payer News.... Read More >
Negotiate Out Referral Requirement in Managed Care Contracts
When negotiating a managed care contract, again think about those day to day managed care administrative duties that if removed, would make your practice life much, much easier. One of... Read More >
How to Audit a Mission Statement
Some medical practices have taken the time and trouble to prepare its own mission statement. Most are displayed proudly in the patient reception area and around the office. However, do... Read More >
13 Wealth Issues for Physician Financial Planning
If you were to ask most people, What issues should you consider when preparing a personal financial plan? many would reply banking products, investments, retirement planning, college funding, etc. The... Read More >
Scrutinize denials for reasons, check plan procedures
The following is an excellent article from the Managed Care Contracting and Reimbursement Advisor. Managed Care Contracting amp Reimbursement Advisor tells you exactly what you must know and do to... Read More >
Response to Embezzlement #3 Post
This post has seemed to cause a little stir among the physician practice manager community. Here is a reply I recently received: Read More >
OIG Workplan
Did you know the following physician issues were included on the OIG (Office of Inspector General) work plan? Read More >
Justice Department Limits Prosecution under HIPAA
The law firm of Davis Wright Tremaine announced that the U.S. Department of Justice DOJ recently issued an internal opinion limiting DOJ criminal prosecutions under the federal health privacy law,... Read More >
Addressing Call in Physician Employment Agreements
Make sure the physician employment agreement addresses when a physician can remove himself or herself from the group s call schedule. In addition, make sure it addresses how the physician... Read More >
Removing Managed Care Red Tape
When assessing your managed care relationships, look not only at reimbursement, but the so-called red tape issues as well. Ask your staff this question for each of your payers What... Read More >
Medical Practice Management Handbook
People have asked where they can purchase my book: Medical Practice Management Handbook. Please click on the following link for details: Read More >
Embezzlement #3
Another instance of an employee stealing patient copays in a medical practice. The following was excerted from an email I received: Read More >
Growing a Medical Practice
A simple post today: Remember that growing a medical practice today is ALL ABOUT GROWING THE TOP LINE. Read More >
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Accounting and Tax Services Litigation Support Managed Care Consulting Managed Care Contract Negotiations Medical Practice and Healthcare Entity Valuation Medical Practice Assessment Medical Practice Brokerage Medical Practice Embezzlement Consulting Medical Practice Management Medical Practice Merger Advice Medical Strategic Planning Newsletter Personal Financial Planning Oversight Physician Compensation Models Physician Compliance Physician Financial Management Services Retirement UncategorizedAbout Reed Tinsley, CPA
As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read More >
