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HIPAA Student Health Record

Restrict HIPAA Student Record Release or Face Violations

You could get hit with fines for violating HIPAA student health records’ rights unless you update your protocols based on new agency directives. The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Education (DOE) updated HIPAA and privacy act laws on how to maintain students’ health records. Some situations allow […]
Office Animal Policy

Dodge $75K ADA Fine with Answers to Office Animal Policy FAQs

Whether patients are bringing pets to your office because it’s trendy or a medical necessity is not for you — or anyone in your practice — to decide. You need to understand the ADA service dog laws and implement a clear office policy to educate your staff and protect your practice from a blow to […]
CMS Acupuncture Coverage CPT Coding

CMS Covers Acupuncture When Case Meets These Requirements

Your patients with chronic back pain will be thrilled to know that CMS now offers reimbursement for acupuncture services. But to unlock pay, you must follow several coverage rules or else you’ll be stuck having to write off the service or collect the pay from the patient. Select 987810-987814 Based on Type and Duration Look […]
Billing Errors False Claims success

Dodge Thousands in Penalties by Owning & Reporting Billing Errors

The False Claims Act makes you – and your provider – responsible for medical billing errors and misbilling claims even if you use a billing company. The massive fines – more than $20,000 per violation – can cripple your practice. This quick start guide gives you key ways to prevent accidentally misbilling claims so your […]

Prevent Practice Theft & Fraud by Using Healthcare Background Checks

Because your healthcare practice is subject to strict regulations and privy to sought after data, you can’t afford to hire a risky candidate. A compliant healthcare background check is just what you need to screen applicants, verify their credentials, and reduce your financial liability. Pick the Right Types of Healthcare Background Checks You Need Companies […]
Billing Waivers

5 Steps Make Financial Waivers a Good, Not Risky Deed

QUESTION: We serve a large volume of underprivileged patients who can barely afford to eat. Our doctors often want to help them by waiving their deductibles and co-pays. Could we get in trouble for doing this “good deed”? Cookeville, TN Subscriber ANSWER: Waiving a patient’s co-pay, deductible, or co-insurance can put your practice at risk […]
Immunization Laws for Healthcare Workers

Carrot or Stick: Immunization Laws for Healthcare Workers

As the flu season kicks into high gear, healthcare organizations are grappling with the reality that not all their employees are willing to roll up a sleeve and accept an influenza immunization — or any other vaccine for that matter. The big question is: Can you require your staff to get vaccinated? The answer is […]
Medical Records HIPAA Access Penaltty

Provide Timely Medical Records or Risk $85K HIPAA Penalty

You must be vigilant in timely releasing patient medical records or face $85,000 in penalties. That’s the amount fined to the second provider since fines began in 2019. In December, Korunda Medical, LLC in Florida was fined $85,000 for slow-walking a patient’s medical records. This is the second enforcement action and settlement leveraged by the […]

2020 CMS Telemedicine: Bill More Services From Eased Locale Rules

The recently released 2020 CMS Telemedicine Policy Final Rule’s changes just went into effect on January 1. Topping the list of improvements are new HCPCS codes, greater flexibility with telehealth location, and more telehealth benefit options. Count Home as Originating Site and 2 Other Sweeping 2020 CMS Telemedicine Changes This major final rule revises payment […]
Medicare Advantage Overpayments

Keep 60% Pay by Acting on Medicare Advantage Overpayments by Feb

If your physicians participate in Medicare Advantage Plans, keep a sharp eye on the mail. The final Medicare Advantage Overpayments letter is being mailed to practices the first week of January, and it contains a time-sensitive CMS settlement offer that you must act on this Winter or risk significant financial losses. Medicare Advantage Overpayments Letters […]