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Compliance

Compliance

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 […]

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 ADA service dog laws and implement a clear office policy to educate your staff and protect your practice from a blow to […]
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 […]
Incident-to Billing

Incident-to Means You Must Have Employment Relationship, or You Lose on Pay

Set up the wrong employment relationship with your nonphysician practitioners (NPPs), and you’ll forfeit the ability to bill their services incident-to your physicians and miss out on an additional 15% of their reimbursement. Or worse, you could bill incident-to incorrectly and get targeted for an audit and be required to pay back all the reimbursement […]
HHS Consent Requirements ents

HHS Delays Easier Consent Requirements for Substance Use Patients

Previously scheduled to take effect Feb. 18, the Confidentiality of Substance Use Disorder Patient Records final rule has now been put off until March 21. This means you won’t have access to easier consent requirements for sharing information with your patients’ other providers, among other benefits, for an extra month. In a Jan. 20 memorandum, […]
NPP Services Supervision

NPP Services Supervision

Is there a difference between the supervising and collaborating physicians? Yes, there is a huge difference. The supervising physician has got to be where you can pull them in and grab ahold of them. This would be whoever is in the clinic that day. The collaborating physician would be the physician who set up the […]