Compliance

Compliance

1135-based licensure waivers

Get Ready: 1135 Waivers, Licensing Extensions Ending Soon

HHS recently extended the Public Health Emergency (PHE) into January 2021, keeping the 1135 waivers — including licensing requirements — in place, for now. While there is no definitive expiration date for the waivers, one thing is certain — these waivers will end, and if you’re not prepared you could lose your license. 1135 Waivers […]
Medicare ABN Mandatory

Is an ABN Mandatory or Voluntary? Here are 4 Clues to Decide

The Medicare Advance Beneficiary Notice (ABN) form is only one page long, but accurately completing the process can be as tedious as waiting for the repair man to show up. And it’s really critical that you take the time to get each step right, or you’ll be faced with increased write-offs and could even land […]
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 […]
remain productive during COVID19

Improve Your Practice and Remain Productive

Stay-at-home orders and mandates to delay elective procedures have significantly reduced patient volume at your practice. To justify paying your staff, you need to quickly find ways for them to remain productive during COVID-19. Between pandemic stress and less work to do, your staff could easily settle into an unproductive rut. But there are ways […]
Mandatory or Voluntary ABN

Avoid Audits, Write-Offs With Mandatory or Voluntary ABN Form

QUESTION: What do educators mean by mandatory vs voluntary ABN? Is it the same form? Question from Long Island, NY Subscriber   ANSWER: To secure payments and prevent audits, you must have your patients sign a Medicare Advance Beneficiary Notice of Noncoverage (ABN) form. Don’t risk fines and face write-offs by not issuing the form […]

EKRA Violations Get 20 Years in Prison – Update Your Compliance Now!

Anyone in your practice could be soliciting kickbacks and your compensation arrangements could be in violation too. Those are two lessons learned from the first ever conviction for an EKRA violation committed by an 80-year-old office manager. ERKA violation: A Kentucky woman faces up to 20 years in prison for soliciting kickbacks from a toxicology […]
Office Animal Policy

Dodge $75K ADA Fine with Answers to Office Animal Policy FAQs

Whether patients are bringing pets to your office because it’s trendy or a medical necessity is not for you — or anyone in your practice — to decide. You need to understand the laws and implement a clear office animal policy to educate your staff and protect your practice from a blow to your reputation, […]
Medicare ABN

4 Medicare ABN Steps to Promote Payment, Prevent Penalties

To secure payments and prevent audits, you must have your patients sign the correct version of the Medicare ABN form. Don’t risk fines and face write-offs by submitting the wrong form — educate yourself on when a Medicare ABN is mandatory or voluntary to protect your practice against unpaid claims. What is a Medicare ABN? […]
abn form

Medicare’s ABN Form: Top 10 Mistakes You’re Making (and How to Fix Them)

Using Medicare’s ABN form, Advance Beneficiary Notice might be a routine part of your job, but are you sure you’re doing it correctly and compliantly? Providers and staff who treat Medicare patients must know exactly how and when to issue a CMS ABN form to avoid costly write-offs and penalties. If you’re like most providers […]
Medicare Exclusions

Don’t Pay the Price for Medicare Exclusions

Making the mistake of employing an excluded physician, nurse, nonphysician provider or administrator will lead to you facing thousands in civil money penalties — not to mention the money you’ll lose for services you’ve provided that can never be billed. Thinking that this can’t affect your practice is a HUGE mistake. In fact, the Office […]
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