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COVID-19 PTO leave sharing plan

Disaster Leave Sharing Plan Helps with COVID-19 PTO

With the expiration of the Families First Coronavirus Act (FFCRA) and no new government guidance to replace it, knowing how to handle paid time off (PTO) requests related to COVID-19 is a challenge. You certainly want to ensure that your staff are okay, but you also have a business to run that requires you to […]
Reporting HHS Funds

Provider Relief Fund Reporting, Figure Out How to Keep Your Money

Update Notice: This blog post was reviewed for accuracy by a Healthcare Training Leader expert and was updated on June 4, 2021. This includes a revision to HHS’ FAQ page on 3/​31/​21 regarding eligibility for phase 3 General Distribution. Reporting HHS Funds. Correctly reporting how you used the CARES Act Provider Relief funds you received […]
Practice's Worth

Prove Your Practice’s Worth to Payor and Reap the Financial Reward

Payors may not come right out and ask you to prove your practice’s worth but being able to do so can have a significant impact on your bottom line. practice’s worth. Proving your worth to a payor can get you reactivated after you’ve been excluded from a plan or get you in the door after […]
Billing modifier 62

Step-by-Step Tips to Head Off Modifier 62 Overpayments

The January 2021 updated OIG Work Plan makes it clear that the Office of the Inspector General (OIG) is paying attention to surgical modifier 62. The Work Plan states.billing modifier 62. “…we plan to audit a sample of claim line items specifically where different physicians billed for the same co-surgery procedure code, for the same […]
Information blocking exceptions

Cures Act Rules: Master 8 Record Access Exceptions to Comply

How and when you grant access to your patient medical records is about to change. Effective April 5th, 2021, new federal guidelines require you to more readily grant access to your patients’ health information, or else. Information blocking exceptions. The regulation driving this change is the new 21st Century CURES Act (also referred to as […]
Using modifier 25

Key to Using Modifier 25? Separate History and Exam

With the new 2021 E/​M guidelines in effect, payers and auditors have made it clear that they’ll be closely scrutinizing E/​M claims more than usual—this includes the modifiers appended to them as well. One of the murkiest modifiers continues to be 25 (a significant, separately identifiable evaluation and management service by the same physician or […]
COVID-19 vaccination exemption

Skillfully Accommodate COVID-19 Vaccination Exemption Requests

Update Notice: This information was reviewed for accuracy on May 19th,2021. This update reflects new guidance for vaccinated individuals provided by the Equal Employment Opportunity Commission (EEOC) on May 13, 2021. This new information is in blue text in the second paragraph below. A recent New Mexico case highlights that there are still a lot […]
Appointing a COVID-19 Workplace Coordinator

2021 New OSHA Rules: Who Should Be Your COVID-19 Workplace Coordinator?

New OSHA guidelines, issued January 29, 2021, focus on implementing a COVID-19 workplace prevention program. In addition to a variety of recommendations, the Agency calls for employers to designate a COVID-19 Workplace Coordinator who is the primary point of contact for all COVID-19 issues at your practice. WARNING: Don’t make the mistake of thinking that […]
COVID-19 Vaccine Cold Chain Rules

Avoid Serious COVID-19 Vaccine Temperature Errors

Once you get approved to be able to offer COVID-19 vaccines to your patients, there is one big issue that you must face before the vaccines arrive at your door. TEMPERATURE. The two most predominantly available vaccines must be freezing cold. The Pfizer vaccine must be kept colder than it gets in Antarctica (minus 70 […]
TELEHEALTH_PLACE_OF_SERVICE

Get Paid for 60 New Telehealth Codes in 2021

After a year of constant updates, the rule changes for telehealth coding have “finally” been finalized in the 2021 Physician Fee Schedule final rule. Keep reading to ensure you’re getting paid for every service—including the newly reimbursable telehealth codes. CMS Adds Services to Telehealth List. Beginning January 1, 2021, the list of services reimbursable when […]