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Hospitals Receive a Reprieve from CMS Recovery Audits
In a new ruling, CMS agrees to partially pay pending hospital claims in exchange for withdrawal of claims appeals.
Avoid Audits: Make Sure Your Medical Billing Practices Are Above Board
In light of continuing Medicare fraud, it is vital to review your coding and billing procedures. Prevention is key to avoiding expensive take-backs.
Independent Contractors a Serious Asset Protection Issue for Doctors
Physicians face a wide variety of exposures beyond medical malpractice claims including both labor and tax claims for misclassified contractors.
Health Insurance Fine Print Shifts Burdens to Physicians
Payers can no longer exclude patients due to pre-existing conditions, so they are resorting to other tactics.
Health Insurers Using Sneaky Tactics to Intimidate Physicians
The "recredentialing trap," strict payment reviews, and fingerprinting are all underway or on the horizon as ways payers are bullying physicians.
Insurers Take Advantage of Impossible Expectations Placed on Physicians
In medical practice, a cottage industry has developed, which is dedicated solely to legal “fault finding” without regard to equity.
Medical Practice Health IT Audits: 10 Reasons to Review Your Tech
Medical practices are no strangers to audits. But health IT audits are critical to the financial, legal, and operational success of your office.
Three Ways Physicians Lose Money
Defunct payment policies, denied claims, and unchallenged audits all blled revenue from practices. Here's what it means and how to stop it.
How to Effectively Verify the Clinical Content in Your EHR
In this podcast, consultant Ronald Sterling notes the critical steps every practice should take to verify the clinical content in its EHR.
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