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OIG Watch List: Protect Payments from Urine Drug Test Audits

The Office of Inspector General (OIG) added to its Workplan items that contractors will audit or evaluate with a more critical eye. If you bill for urine drug test or speech-language pathology services to Medicare beneficiaries, now’s the time to weigh your compliance risk and fix any issues. OIG Scrutinizes Urine Drug Test, Speech-Language Pathology […]
Published Date: October 31, 2019
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Stark Law 2020 CMS Proposed New Rule

CMS New Rule: Stark Law Promotes Care Over Self-Referral

The 80’s are back, but it’s not fashion you should worry about. First enacted in 1989, the Stark Law is getting significant updates from CMS that benefit patient care, according to a proposed rule issued in October 2019. Comply with these new regulations that open the door to areas previously restricted as conflicts of interest. […]
Published Date: October 30, 2019
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Legal Column: 3 HIPAA Compliance Cases Giving Attorney Nightmares – Heidi Kocher, Esq

There’s a lot at stake if healthcare professionals don’t comply with HIPAA and other government regulations. No one knows this better than myself – a healthcare attorney. The relationship between healthcare attorneys and the practices we serve is a paradox. On the one hand, the healthcare attorney is viewed as the institution’s life raft — […]
Published Date: October 29, 2019
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6 Easy Steps to Unlock Your Well Woman Exams Pay Up

Getting reimbursed for preventive well woman exam claims is tricky – not all third-party payers reimburse for these services and the coverage rules vary for the payers that do. You can’t afford to mess up the ABN or the allowed codes. Remove barriers to get the reimbursement you deserve by following a handy step-by-step guide. […]
Published Date: October 24, 2019
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Medicare Diabetes Prevention Program MDPP

CMS Releases 2020 Payment Rates for Medicare Diabetes Prevention Program MDPP

CMS has released the 2020 payment rates for HCPCS codes for the Medicare Diabetes Prevention Program (MDPP). A provider can receive payments of varying amounts close to $700 per beneficiary. New MDPP 2020 payment rates go into effect Jan. 1. While the rate change is minimal, every dollar makes a difference towards an ounce of […]
Published Date: October 23, 2019
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Attorney General Moody’s Medicaid Fraud Control Unit Arrests 19 in Regional Takedown

TALLAHASSEE, Fla.—Attorney General Ashley Moody today announced the completion of a statewide Medicaid fraud takedown. The Attorney General’s Medicaid Fraud Control Unit executed 19 arrests for fraudulently billing Medicaid more than a million dollars. The arrests culminated from 14 different cases covering a wide range of charges, including: aggravated identity theft, conspiracy to commit health […]
Published Date: October 22, 2019
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MAT Opioid

Prep Now to Get Paid for MAT Opioid Programs under New CMS Rule

You may have added Medicare reimbursement opportunities to rejoice about come the new year. In the final rule for the Medicare Physician Fee Schedule, CMS has plans to expand coverage for opioid use disorder (OUD) treatment services to increase access to treatment, including medication-assisted treatment (MAT Opioid Treatment Programs). How to Get Paid for MAT […]
Published Date: October 18, 2019
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Patient Dismissal Letter

3 Steps for Firing a Patient Without Incurring a Lawsuit

A patient can terminate the physician-patient relationship at any time and is always free to seek another provider. The physician, however, cannot fire a patient, without risking a patient abandonment complaint. When the time comes to terminate the relationship, take these actions to terminate patients in a smooth legally-free manner. Provide a Patient Dismissal Letter […]
Published Date: October 17, 2019
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Master Front Desk Collections Tactics That Get You Paid More

Once your patients walk out the door, your chances of collecting what you’re due plummet. But there is an answer to your collection challenges. By training your front desk team to collect from your patients at both check-ins and check-outs, you can significantly improve your collection percentages. Collections statistics are against you and your practice, […]
Published Date: October 15, 2019
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