December 20th 2022
Trends in medical audits and what physicians can expect.
August 21st 2020
More Compliance Officers (CO) are engaging in Virtual Compliance Assistance (VCA) as an affordable option to quickly adapt to the industry’s shifting regulatory environment.
June 22nd 2020
Maximize your ability to thrive as a professional.
August 27th 2018
Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits.
October 5th 2017
Performing random audits at your practice is a thing of the past. Here's how to use predictive analytics to get the most out of audits.
Effects of DRG audits on provider sentiment and abrasion
Audits cost providers as much as $1 million annually and damage relationships, but there is an upside a new study says.
How to Handle an Audit from Medicare or Other Payers
Regardless of who the payer is or the stated purpose, every potential audit inquiry should be taken seriously by your practice.
Healthcare Fraud 101: An Overview of the Key Statutes
An overview of the four federal healthcare fraud statutes and what your practice can do to avoid violating any of them.
Five Documentation Tips that Reduce Audit Risk
It's never been more important to make sure your medical record documentation is complete, accurate, and complies with federal guidelines.
Safety at the Practice Takes on a New Meaning
OSHA recently introduced harsher penalties to employers who are violating workplace safety guidelines. Here's what you have to know.
Captive and Life Insurance Sales Plans Target Doctors
Here are some of the vital basics doctors and their advisors need to know about captive and life insurance sales plans.
Compliance or Preventative (Legal) Care for Practices
Here are eight elements of an effective corporate compliance program, which can prevent healthcare fraud and abuse before it ever starts.
Physicians: What's In Your Disaster Recovery Plan?
Recent ransomware attacks and the Phase II Office for Civil Rights Audits underscore the importance of adequate policies and procedures.
Audit Your Medical Practice's Third-Party Vendors
When using third-party vendors for certain practice functions, it's always wise to take a close look at their performance.
Captive Insurance Companies Draw IRS Eye
Captive insurance companies can bring significant benefits to physicians, yet the risk of an IRS audit can increase.
Does Your Practice Have a Data Breach Response Plan?
If your practice suffers a security breach, staff must know their part in implementing an incident response.
CMS Should Adopt a Flat Rate for E&M Office Visits
Many physicians feel that useless chart documentation has grown to consume most of the patient visit, leaving little time for patient care.
CMS Proposes Tweaks to Two Midnight-Rule
CMS issues proposed two-midnight rule modifications and the reduction in the role of recovery audit contractors.
OCR HIPAA Audits, Phase II Reminders
Physicians should be aware that Phase II of OCR's HIPAA Audits have commenced. Here is a short check-list to prepare your practice.
Think Your Practice is HIPAA Compliant? Think Again.
Nine HIPAA missteps that experts say medical practices make every day.
Physicians' Cybersecurity Should Begin With TAP
TAP - technical, administrative, and physical controls should form the foundation of HIPAA compliance.
Meaningful Use Attestation: Avoiding a HIPAA Audit
When attesting to meaningful use, be sure you are truthful about your HIPAA compliance efforts. Otherwise, you could risk being audited.
Hospice Highlight - CAHPS Survey Implementation
For hospice providers in both acute care and home settings, one item to place on your New Year's resolutions list is CAHPS Survey Implementation.
Clean Up Your A/R Before the End of the Year
Approaching HIPAA Compliance Like a Golf Game
In order to prevail in golf, you need to know the nuances of the game. Likewise, physicians should know how to navigate HIPAA.
Six Ways to Avoid a RAC Audit
If you believe your practice is too small to warrant the attention of Recovery Audit Contractors, think again. Here are ways to prepare for scrutiny.
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.
Physician Compensation: How Medicare Reporting May Create Risk
Physicians are now potential targets for fraud and abuse inquiries. Here are a few simple things your practice can do to protect itself from unwanted litigation.
Physicians Face Unreasonably High Coding Documentation Standards
Payers know that correctly writing down every patient encounter is difficult for physicians, if not impossible. Therefore, exploiting this is easy for them.
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