Healthcare Practice Advisor Blog

This is the place to turn to for physician practice-specific how-to-articles to help you overcome the top challenges you face in medical coding & billing, compliance, credentialing, practice management, HIPAA, and more.

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Healthcare Practice Advisor Blog

This is the place to turn to for physician practice-specific how-to-articles to help you overcome the top challenges you face in medical coding & billing, compliance, credentialing, practice management, HIPAA, and more.

Get these valuable articles straight to your inbox. Sign up for Healthcare Practice Advisor e-newsletter. Just enter your email in the box on the left.

60-Day Rule Timeline

Avoid Tripping Over the 60-Day Rule Timeline … Know When to Start the Clock

The relatively new 60-Day Rule affects all Medicare and Medicaid providers regardless of specialty, size or type, and nailing down the exact date to begin your 60-day countdown is one of the most confusing compliance aspects — although other rule components can easily trip you up as well. The rule may seem straightforward — you […]
HIPAA Breaches

HHS Targeting Smaller HIPAA Breaches

Beginning in August, the U.S. Health and Human Services Department (HHS) Office of Civil Rights (OCR) launched a new initiative to investigate smaller breach reports — meaning those that affect fewer than 500 individuals, the agency announced Aug. 18. This effort is based on a series of recent case settlements where OCR investigated smaller breaches […]
1,212 Injury Diagnosis Codes Changes

Make the 1,212 Injury Diagnosis Codes Changes Work for You

On Oct. 1, not only will your ICD-10 grace period end, but you also will have 1,212 injury code changes to comply with. That means you have no time to procrastinate, and you must ensure you’re ready … or you could be facing hefty denials. Almost every healthcare provider reports injury ICD-10 codes. And these […]
ICD-10 Test Claims Submitted

CMS Accept 89% of ICD-10 Test Claims Submitted

On June 2, 2014, CMS Acting Director, Niall Brennan, posted some exciting ICD-10 testing results to the CMS website. In summary, based on 2,600 participants, CMS accepted 89% of the more than 127,000 claims that were submitted with ICD-10 diagnoses. Brennan also posted that, “HHS expects to release an interim final rule….that would require the […]
Reduction in Your Medicare Reimbursement

Stop 1% Reduction in Your Medicare Reimbursement – You Still Have Time

The American Recovery and Reinvestment Act of 2009 (ARRA) requires Medicare providers that are not meaningful users of electronic health records (EHR) to start by taking a 1% pay cut as of January 1, 2015.  The payment adjustments will continue at 1% for every year if the provider is not a meaningful provider (maxing at […]
Medicare Overpays

Medicare Overpays Billions on E/M Claims

According to a May 2014 report based on 2010 data, HHS is claiming Medicare overpaid $6.7 billion in E/​M payments to providers. The Inspector General’s report, released on May 29, 2014 estimates that 21% of the $32.3 billion spent on E/​M services in 2010 are overpayments.  This data is based on 657 Medicare claims. Although […]
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