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Telehealth across state lines

Telehealth Across State Lines: Can Professional Assns. Help?

The COVID-19 pandemic led to countless changes in how clinicians provided services, and one such change boosted the use of telehealth and increased the number of patients who were transient. When patients left one state and moved to another—whether temporarily or permanently—it created issues for many providers who wanted to keep seeing them over telehealth. […]
Published Date: August 8, 2023
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Telehealth toolkit

How to Use the OIG’s Telehealth Toolkit to Benefit Your Practice

If you’re curious about where you stand in terms of telehealth claim compliance, the OIG has a new tool that may help you sort things out. By using the government’s Telehealth Toolkit, you can evaluate how payers are reviewing telehealth claims and shore up any issues that may exist among your own. Check out a […]
Published Date: August 7, 2023
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Insurance contract

How to Leverage Your Strengths During Payer Negotiations

Once you’ve scheduled an insurance contract negotiation meeting with payers, you can’t simply breeze into the room without significant preparation. The best way to have the payer accept your terms is to identify any and all leverage you can use in the contracting process, and that’s easier said than done. It requires research and due […]
Published Date: August 1, 2023
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Informed consent

4 Ways to Confirm You’ve Gotten Patient Informed Consent

There’s a lot more to the patient informed consent laws than having your patients sign off on a form. In actuality, they must truly understand what they’re consenting to, and that starts with ensuring they have the capacity to understand. Your practice must be able to determine which patients have that ability and which don’t, […]
Published Date: July 31, 2023
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Modifier 59

4 Uses of Modifier 59 That Are Appropriate (And 2 That Aren’t)

Whether or not you have a solid understanding of the National Correct Coding Initiative (NCCI) edits, you are likely very familiar with modifier 59 and the X modifiers, which allow you to report two procedures at the same time. What many practices don’t know, however, is that payers are waiting for you to misuse these […]
Published Date: July 26, 2023
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Communication tips

6 Communication Tips for Having Difficult Patient Conversations

You probably don’t like talking about finances with your patients, but you may be surprised to learn that they hate the topic even more than you do. When faced with a difficult billing experience, more than 40% of patients will consider switching practices. This means that smoothing these conversations can not only reduce anxiety among […]
Published Date: July 25, 2023
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Medical collections

6 Steps to Collecting From Patients Before & During Registration

Medical practices leave a startling $125 billion uncollected every year due to poor collections practices. If you think your practice isn’t responsible for even a dollar of that number, you’re probably wrong. Even if you’ve instituted a medical collections overhaul at your practice, it’s likely that some money is being uncollected that you haven’t followed […]
Published Date: July 18, 2023
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Corporate integrity agreement

CIA vs. Exclusions: What to Know About Each Option

If your practice is under investigation by the OIG, there’s a chance you may face penalties and sanctions for whatever wrongdoing the feds find. For some providers, this may mean facing the threat of exclusion from the Medicare program, or entering into a corporate integrity agreement (CIA). You’ll need to have an attorney well-versed in […]
Published Date: July 17, 2023
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Insurance contract

How to Time and Schedule Your Insurance Contract Negotiations

Handling health insurance contract negotiations can give any practice manager a headache. There’s so much to remember, including which terms to avoid, who your contact should be at the payer organization, which rates work best, and much more. Among the issues that many practices struggle with is how often to renegotiate with payer sources. Read […]
Published Date: July 11, 2023
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Split/shared billing rules

3 Ways to Prepare for the Split/Shared Changes Coming Soon

As many practices are aware, the split/​shared billing rules changed earlier this year, and are in for an even bigger overhaul starting January 1st. If your practice is trying to get ahead of the curve, now is a great time to get a handle on what will change in 2024 and what you’ll need to […]
Published Date: July 10, 2023
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