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All Blogs

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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Ask an Expert: What CPT Code Applies for a Blood Pressure Check by a Nurse?

QUESTION:  Can you bill CPT Code 99211 for a blood pressure check by the nurse? The patient did not see the doctor. – Anonymous, Salt Lake City, UT ANSWER: You may bill CPT code 99211 for a blood pressure evaluation for an established patient whose physician requested a follow-up visit to check blood pressure. CPT […]
Published Date: October 12, 2019
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Medicare enrollment

Medicare Enrollment Rule Expands Disclosures for Your Providers and Candidates

It’s fall — and that usually means CMS will soon drop its final rule on the Medicare Physician Fee Schedule. But this September, a brand new final rule just fell into your lap: the “Program Integrity Enhancements to the Provider Enrollment Process” Final Rule. This rule extends CMS’s authority to take action against “unqualified and […]
Published Date: October 10, 2019
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FLSA Overtime Final Rule

FLSA Overtime Final Rule: 4 Tips to Stay Compliant, Profitable

Effective Jan. 1, 2020, approximately 1.3 million more employees will be eligible for overtime pay. Why? For the first time in 15 years, the U.S. Department of Labor has updated the FLSA — the Fair Labor Standards Act — increasing the salary threshold certain full-time, salaried employees must meet to be considered exempt from overtime […]
Published Date: October 8, 2019
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Credit Card No-Show Policy: Is It the Right Action to Take?

QUESTION: Our practice has a problem with patients no-showing for appointments.  I’ve tried several things, but I haven’t been overly successful in fixing the issue. I’d like to create a credit card no show policy in which we keep a credit card on file and charge patients a fee if they don’t show up. Is […]
Published Date: October 6, 2019
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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 […]
Published Date: October 3, 2019
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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 […]
Published Date: October 1, 2019
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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 […]
Published Date: September 30, 2019
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