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Patient collections

5 Ways Practices Can Collect More From Patients to Bring in Cash

Medical practices spend hours every week working with insurers to collect reimbursement—but a much less discussed method of bringing cash into your practice is to maximize the money you bring in from patient collections. Ensuring that you collect copays, coinsurance and deductibles allows you to get the most reimbursement possible. Check out five ways to […]

Published Date: June 14, 2023

OSHA inspections

Avoid Penalties and Fees With OSHA Inspection Best Practices

Medical practices are increasingly becoming targets of OSHA inspections, and penalties are rising for practices that are found to be in violation. During an inspection—whether it’s a surprise or pre-scheduled—the inspector will review your paperwork, look at electronic documentation, check out medical and lab equipment for safety, and probably take photographs and videos. And if […]

Published Date: June 13, 2023

No show appointment

Reduce No Show Rates with Proven Dynamic Scheduling Tactics

Your no-show appointment rate will never be zero but keeping it low is essential to keeping your provider’s schedule full and protecting your practice’s revenue flow. Dynamic scheduling could be your knight in shining armor. When patients don’t show up, you’ve lost an opportunity to get paid, your providers are wasting their time, and you’re […]

Published Date: April 14, 2022

Pharmaceutical rep

Ward Off Kickback Penalties from Common Drug Rep Gifts

Don’t forget that pharmaceutical reps have an agenda. When they bring lunch for your entire office or offer your doctor tickets to a sold-out event, it may seem like they are just being nice, but they are trying to influence prescribing habits. The consequences of accepting freebies from drug reps can be significant if you […]

Published Date: February 18, 2022

New Tests With CLIA-Covered Code Files And QW Modifier

Summary: The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) utilize new tests enumerated by CMS with CLIA-covered code files and a QW modifier and evaluate claims according to CMS protocols. Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3812CP.pdf Subject: New Waived Tests Number: 3812 Title: 10198 Release Date: July 27, 2017 Effective Date: October […]

Published Date: July 27, 2017

Updates From FISS

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) observe and work with updates from FISS, a Medicare Part A claims processing system. Contractors shall participate in five 1-hour meetings to discuss testing. Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1874OTN.pdf Subject: Implementation CR: Integrating NLR into the HQR system Number: 1874 Title: 10134 Release […]

Published Date: July 27, 2017

Tasks For FISS Analysis

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) perform various tasks for FISS analysis. Contractors shall participate in eight weekly 1-hour calls, take meeting minutes and post them in ECHIMP during a given timeline of two days, provide final analysis papers, and otherwise conduct research and comply with CMS […]

Published Date: July 27, 2017

Changes To FISS System Regarding Taxonomy Codes

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) utilize and apply changes to the FISS system regarding taxonomy codes. Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1876OTN.pdf Subject: Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Number: 1876 Title: 10155 Release Date: July 27, 2017 Effective Date: January 1, 2018 Implementation […]

Published Date: July 27, 2017

MACs to Evaluate CMN and DIF

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) evaluate CMN and DIF depending upon medical record content and the existence of any errors or omissions, for the purposes of deciding whether denials are appropriate. Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R733PI.pdf Subject: Clarification of Certificate of Medical Necessity (CMN) and Durable Medical Equipment […]

Published Date: July 27, 2017

New Requirements In Medicare Contractor Beneficiary and Provider Communications Manual

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) comply with new requirements for Pub. 100-09, Chapter 6 Medicare Contractor Beneficiary and Provider Communications Manual. Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R36COM.pdf Subject: Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program Number: 36 Title: 10168 […]

Published Date: July 21, 2017