Whether you’re familiar with the Corporate Transparency Act or not, your practice may be required to comply with the new Financial Crimes Enforcement Network (FinCEN) reporting regulations, which went into effect on January 1, 2024. If your practice is required to report and doesn’t, you could face daily penalties of $500 — a fee that […]
It happens almost every day: Practices already stretched thin with their existing responsibilities are asked to send hundreds of medical records to auditors for “review.” The additional work and stress from the medical records request pushes practices to their limits and seems excessive to most practice managers. What recourse do you have for these voluminous […]
It’s more important than ever to create your physician contracts to the letter of the law. A brand-new OIG ruling released in November could muddy the waters if you aren’t on top of the rules, and penalties could be huge if you are in violation of the Stark and anti-kickback laws. Check out a few […]
When the OIG released its updated healthcare compliance program guidelines in November, it became clear that if you don’t have a well-designed program, you could be in violation of the regulations. Your best bet is to familiarize yourself with every detail of the new compliance program guidance so you enter 2024 with your i’s dotted […]
Every coder knows that although most providers perform evaluation and management (E/M) services nearly every day, coding these visits aren’t necessarily straightforward. That fact is backed up by data in the latest CMS report, which notes that established patient E/M codes 99211-99215 were riddled with errors, most of which were due to upcoding. The facts: CMS published […]
Time and time again, the government has proven that no one is immune from accusations of healthcare fraud. Certainly not providers, but also coders, billers and office managers. Check out three cases of office managers who were accused of healthcare fraud, what the allegations were and how you can avoid similar issues. 1. MO Office […]
It can be unbelievably confusing to fill out your Medicare claims without making mistakes. But while errors are just a part of life in every other area, Medicare errors can be a different story. Auditors and reviewers are just waiting for you to put one wrong detail on your claims, allowing them to deny your […]
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 […]
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 […]
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 […]
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You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.