Compliance

Compliance

2021 Stark Exceptions

2021 Stark Exceptions: Stop Violations for Your Self-Referrals (Jan 19 Deadline)

Your referrals, value-based arrangements, and physician compensations can land you with huge penalties unless you meet all of the 2021 Stark Law requirements that go into effect January 19th. Make just one error, and you’ll be fined $25,000-$50,000 per violation – you can even be excluded from Medicare and Medicaid. CMS and OIG have made […]
require flu shots

3 Steps to Require Flu Shots Without Violating Employee Laws

Mandating employees flu shots will land you in a legal mess unless you have the right Federal and state requirements in place. Requiring your staff to receive an infleunza vaccination absolutely reduces illness and absenteeism and protects your patients. And many of your employees will willingly get a flu shot this fall; some may refuse. […]
Deceased Patient Medical Records

Deceased Patient Records: Stop Fine for Wrongful PHI Access

Your obligation to protect patient privacy doesn’t end when your patient dies — It just gets more complicated. The tricky part is knowing who’s authorized to receive deceased patient medical records because mishandling them will create a financial nightmare for your practice. HIPAA Rule for Deceased Patient Medical Records The HIPAA Privacy Rule states that […]
CPT telehealth audits

Ace Telehealth Audits and Keep Your Reimbursements

Important: Your CPT codes 99201-99215 claims are under attack. CMS and private payers started their telehealth exam post-payment audits which include reviewing your records and contacting your patients. Address these telehealth audit targets right now so you can hold onto more of your office visit pay and prevent future compliance penalties. Telehealth Exams Must Include […]
Telehealth HIPAA COVID

3 Ways to Avoid Telehealth HIPAA Violations During COVID-19

While HHS gave you a carrot and on the last possible day extended the public health emergency through mid-October, you better use the time to tighten up your telehealth privacy – or you could face expensive HIPAA violation penalties. Telehealth HIPAA COVID. CMS has added telehealth audits to its new work plan, so take it […]
OIG Telehealth Audit

Audit OIG Report: 4 Ways to Avoid Telehealth Audit Traps

It’s now official: Your telehealth services are on CMS’ radar. The Office of Inspector General (OIG) just announced that it will start reviewing claims for specific violations. The last thing you want to do is pay back money for incorrect telehealth reporting. But that’s exactly what could happen if you don’t tighten up your telehealth […]
Liability waiver covid-19

Liability Waivers for COVID-19: Put Stronger Safeguards in Place Now

QUESTION: Can we be sued if a patient thinks they got infected at our practice? Will a COVID-19 liability waiver protect us from patient lawsuits claiming they contracted the virus at our office? Question from Austin, Texas subscriber   ANSWER: You are right to be anxious about the reality of being sued. More than 800+ […]
Compliance program new rules

DOJ New Rules: Fund Your Compliance Plan or Face Massive Fines

With so many improvement areas competing for resources, a sufficiently financed and living breathing compliance plan has not been high on your priority list. But new guidance released June 1 from the Department of Justice (DOJ) that determines penalties based on these added requirements means you must update your compliance program now to avoid massive […]
HIPAA Violations Zoom

Use Zoom Judiciously or Face Lawsuit

QUESTION: We heard that HIPAA allowed any technology for telehealth exams during the pandemic.  While researching the options, Zoom was a low barrier entry due to low monthly cost and single sign on function. We have read reports of some companies banning the technology because of security issues. However, we’ve also read that during this […]
Cost Sharing Waivers

Avoid COVID-19 Fraud: Comply with Cost Sharing Waivers

CMS and private payers have recently implemented a variety of prior-authorization, copay and cost-sharing billing waivers for the COVID-19-related services you supply to your patients. Many of the services included in these waivers are being made available to patients at no cost. This helps prevent the inability to pay for services as a barrier to […]
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