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Your Top Frustrations Are Staffing, Compliance Changes – Practice Management Survey

If staffing concerns keep you up at night, you’re not alone. Finding/​keeping staff and keeping up with compliance changes are the top practice management and compliance issues that practice managers and physicians face, according to the results of Training Leader’s Medical Practice Top Challenges Survey. Read on to see how you stack up to your […]
CPT Code 59400

Global Billing Growing: Capture Charges Beyond CPT Code 59400 for Bundled Care

Insurance trends are shifting from fee-for-service models to global billing structures including in the area of maternity care pricing: a flat rate fee for (almost) all services rendered to cover the entire pregnancy billed with one code such as CPT code 59400. Correctly including what is part of a global billing model – and what […]
medical records requests

Stick to 4 Medical Records Requests Requirements to Avoid HIPAA Fine

With fines for medical record request violations on the rise, you can’t afford to not comply with releasing records the right way. Sure, distributing records can be an irritation in a busy day but dealing with costly HIPAA violations is way worse. Read on for the skinny on medical records requests – what rules to […]
Quality Measures GAO Report

CMS Falls Short Monitoring Quality Measures, Finds GAO Report

For an agency that embraces values-based care, CMS is missing the mark when it comes to monitoring its own quality measures, finds a recent watchdog report. The U.S. Government Accountability Office (GAO) published their September 2019 Health Care Quality report: “CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives.” The report indicates […]
burnout ICD-10-CM code Z73.0

Perk Up Your Office With Tips to Bust Burnout: ICD-10-CM Code Z73.0

If you’re feeling especially snippy to your staff or can barely summon the energy to get through your work day, you could be struggling from burn out. This syndrome is increasing so quickly in our modern times that it now has its own diagnosis for burnout: ICD-10-CM code Z73.0. ICD-11 includes a section for burnout […]
Credentialing tools

Credentialing Tools: Checklists and Programs to Speed Applications

Your provider cash flow will come to a screeching halt unless you secure on-time insurance enrollment and hospital privileges. But with so many steps and forms to keep up-to-date, avoiding an accidental lapse in credentials can be really easy. With the right tools, you can stay on top of the process and your reimbursements flowing. […]
CMS ASC Approved Procedure List

CMS ASC Approved Procedure List Challenges: Look to HR 4350

If your practice has an Ambulatory Surgical Center (ASC), you’re part of the millions Medicaid saves every year. However, you reap fewer benefits than Hospital Outpatient Departments (HOPDs). A new bill on the table could serve to ease some of the burden your ASC faces, especially relating to the variable CMS ASC approved procedure list. […]
Fee-for-compensation

Bust 3 Myths to Boost Pay for Your Fee-for-Compensation Physicians

Are you billing for fee-for-compensation services correctly? Many practices aren’t — and that means leaving money on the table. In today’s healthcare market, that’s not something you can afford to do. Unfortunately, fee-for-compensation billing is often misunderstood, so many practices aren’t getting all the reimbursement they deserve. Plus, incorrect or non-compliant billing practices can catch […]
HIPAA Violation nurse giving patient medical records

First Medical Records Patient Access HIPAA Fine Issued

You may have recently seen the announcement that the U.S. Department of Health and Human Services (HHS) and the Office of Civil Rights (OCR) had their first patient access enforcement action. The $85,000 payment wasn’t recorded as an actual HIPAA violation, but as as settlement with Bayfront Health of St. Petersburg (Bayfront). So, why should […]
Emotional Support Animal

Emotional Support Animal FAQs: Avoid ADA Violations

When a patient walks into your practice with a dog, you must quickly decipher: is this a service animal, an emotional support animal, or is this patient simply trying to get away with bringing Fido along for fun? That’s not a trick question, but it might feel like a tricky one to answer. There’s been […]