CMS won’t release the 2020 Medicare Physician Fee Schedule final rule until later this fall, but that doesn’t mean you should wait to shore up your reimbursement for coding remote patient monitoring based on the proposed rule. Released in July, the proposed rule contains important clues about what you can expect next year. And even […]
Did you receive a perfect score in the MIPS Promoting Interoperability category in 2017 or 2018? Most practices did in those first two years, but this year, it will be much more difficult to achieve even a high score let alone a perfect one with the changes for MIPS Promoting Interoperability 2019. The worst case […]
Without proper medical credentialing, a medical practitioner legally cannot work at a hospital or partner with insurers. Having medical staff credentialing training is crucial to ensure a new physician or practitioner is allowed to see patients, receive insurance reimbursements, and hospital privileges. Fail to attain on-time credentialing and the new staff will fail to meet […]
Several months ago, the Centers for Medicare & Medicaid Services (CMS) released an updated Medicare telemedicine policy for Medicare, which went into effect on Jan. 1, 2019. The new changes in the CMS’ finalized Calendar Year 2019 Physician Fee Schedule for Medicare telemedicine policy are brought with the goal of streamlining the healthcare system, and […]
Several weeks ago, a customer called and asked, “How long should we keep our patients’ medical records before destroying them?” Over the years, I’ve heard a variety of answers to this question, and it never seemed...
Payer contract negotiations don’t have to be painful. Consider these action items to help keep you focused, avoid payer pressures, and prioritize your organizational goals to ensure the right outcomes for your practice...
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 […]
If your practice isn’t using time-based codes correctly, you are leaving money on the table. Or worse, opening yourself up for massive fines per misuse. The truth is, most coders and their physicians steer clear of these codes out of fear of the consequences of getting it wrong. But, there’s no need to avoid these […]
All Tricare West providers must secure new contracts with HNFS as UnitedHealthcare will no longer retain this contract. PGBA will remain the claims processor and there will be no disruption...
The number of physician practices being audited each year continues to rise. As a result, more and more providers committing fraud, or just making mistakes, are being identified and required to pay massive penalties or have even been sentenced to jail time. In many instances, the violation wasn’t intentional, but because they had no way […]