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OIG work plan

HHS Adds 3 Key Issues to Latest OIG Work Plan Document

Every practice knows that the Department of Health and Human Services (HHS) assigns its watchdog agency, the OIG, to review problematic issues at medical offices, and to investigate when warranted. Investigations may end up resulting in fines and penalties for practices, which is why it’s important to avoid these reviews if at all possible. One […]
Published Date: October 31, 2023
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ERISA documents

How to Gather ERISA Documents That Help You Slash Denials

The first step to filing ERISA appeals is to ensure you have all the ERISA documents you need from your patients — but that can be easier said than done. It can be challenging to get items like the summary plan description and coverage details. Check these methods that can help you gather the ERISA […]
Published Date: October 30, 2023
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Subpoena for medical records

4 Questions to Ask if You Get a Subpoena for Medical Records

If your practice receives a subpoena for medical records, it’s important to stay calm. Although you have to toe the line between complying with the subpoena and protecting patient privacy, there are important questions you must answer before sending the records. Check out the four questions you should always ask when you get a subpoena […]
Published Date: October 24, 2023
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CPT modifiers

3 Ways Payers Are Monitoring Your Use of CPT Modifiers

Without CPT modifiers, many coders would struggle to submit accurate claims to payers. Why? Because modifiers allow you to provide insurers with more information about a service or supply, without changing the meaning of the code they’re modifying. In many cases, modifiers can be the difference between a denial and a claim approval. Coders have […]
Published Date: October 23, 2023
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Telehealth fraud

3 Recent Cases Show Providers Charged With Telehealth Fraud

Telehealth has become such an important part of our lives that it’s now second nature for many medical practices. That doesn’t mean you can become complacent, however. The reality is that auditors are still scrutinizing telehealth claims to look for instances of wrongdoing, and several recent cases highlight how telehealth fraud scrutiny may even be […]
Published Date: October 18, 2023
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ICD-10-CM

4 New External Cause ICD-10-CM Code Sets to Know for 2024

The 2024 ICD-10-CM codes — which took effect on Oct. 1 —include nearly 450 changes, with many of the new codes slotted into chapter 20, which describes external causes of illness or injury. While not all payers require the use of these codes, they can absolutely help you paint a clearer picture of why a service […]
Published Date: October 17, 2023
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I-9 form

Check These NEW I-9 Form Changes Before the Nov. 1 Deadline

The updated I-9 form is already out, but many practices aren’t using it yet. The catch? You must start using this form effective Nov. 1, 2023, since the previous version expires on Oct. 31. To prepare for the switchover and ensure you’re ready to begin using the new I-9 form, take a look at these […]
Published Date: October 10, 2023
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Medicare appeals

7 Tips for Medicare Appeals That May Help Reverse Denials

Unless you engage a consultant or attorney to assist, it costs nothing to submit Medicare appeals, but it can net you big money because you’ve already performed the service — and you deserve to get paid for it. Many practices avoid appealing denials because it’s time consuming, but if you know the ropes about Medicare […]
Published Date: October 9, 2023
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Patient payment estimator

Price Transparency: How to Give Accurate Estimates to Patients

If you’re looking for a new way to bring in cash, check out this statistic: About 52% of patients would pay $700 more by credit card when visiting a physician if they’d gotten an estimate at the point of care. That stat from a McKinsey quarterly survey of retail health care consumers demonstrates just how […]
Published Date: October 3, 2023
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Marijuana in the workplace

6 Ways to Protect a Practice From Marijuana Impairment Errors

If your practice is in an area where marijuana is legal, you may think you should just look the other way when staff members are using marijuana in the workplace. But if you adopt this philosophy, you could be setting yourself up for massive liability issues. Why? One federal study found that employees who test […]
Published Date: October 2, 2023
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