May 24th 2023
To minimize potential liability for coding compliance issues, providers should go back to the basics, and familiarize themselves with high-risk areas for coding and billing audits and enforcement.
March 6th 2023
Four changes that can improve the value of quality metrics.
July 29th 2021
The risk of malpractice and negligence is hurting the medical billing industry. Here’s a brief article talking about various risks involved with these threats to practices, clinics, and coders.
June 28th 2021
Don’t let your Medicare Part B reimbursement for advanced imaging be impacted by the CMS Mandate taking effect on January 1, 2022!
May 13th 2021
Compliance measures can assist healthcare industry participants avoid potential liability, whether civil or criminal, under the False Claims Act.
Most read 2022: The basics of incident-to billing
Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.
The Basics of Incident-To Billing
Surprise Billing and Independent Practices
Physicians Practice® spoke with Krisi Hutson, the product line director at Availity, to discuss some of the ways in which she has been seeing providers help their patients to avoid surprise billing scenarios.
Healthcare Compliance: 7 elements for an effective program
A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.
Inappropriate billing, fraud gaining scrutiny
HHS-OIG items of interest for providers.
Medical billing fraud unveiled with new, advanced technologies
The National Health Care Anti-Fraud Association estimated that healthcare fraud costs the nation $68 billion annually.
2021 Remote Patient Monitoring Changes: 10 key takeaways for practices
Providers will benefit most from well-tailored RPM programs designed within the current requirements that also have the means to be flexible as requirements inevitably shift.
This world is on FHIR
What the new HL7 interoperability standards means for providers.
2020 Group Practice Stark Law Changes
DHS profit distribution compliance may require modification of physician contracts, compensation policies, and other documentation within the practice
Beware employer billing and collection liability avoidance
Few employers readily assume responsibility in initial contracts — make sure you read the fine print and negotiate.
Covid-19 Legal Risks: Requiring masks at your practice
To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.
The AI Difference in Revenue Cycle Management
Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year
Collection Law Firms vs. Collection Agencies: What physicians need to consider
The differences between the two are important to note in your consideration of your collection strategy
Automating accounts payable
How new technology is curing ailments and streamlining processes in one practice’s AP department.
Tis the season for HIPAA settlements
As the year ends, this latest HIPAA settlements serve as a reminder of what should be included in 2020’s resolutions.
7 Financial Reports Your Practice Needs to Run
Just like your patient's vitals provide you with metrics for treatment plans, financial reports provide you with metrics on the "health" of your practice.
Best practices for secure payment processing
Accepting payment via credit card is one way to improve patient collections. But medical practices must take precautions to ensure that their patients’ personal information remains protected.
The dangers of trusting your employees too much
Yes, you need to delegate some tasks to employees. But as practice owners and administrators, it’s your responsibility to oversee and double check-not blindly sign your name for a whole lot of trouble.
The real cost of falsifying claims
A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.
How to prepare and manage payer audits
Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits.
A round up on DOJ actions against coding abuse
A look at recent lawsuits the U.S. Department of Justice has pursued for illegal upcoding, downcoding, and excessive coding claims.
Coding for repacking wound care and diabetic shock
Coding expert Bill Dacey explores coding for ongoing wound care and unexpected, extended care for a diabetic patient.
7 Strategies to Make 2018 Your Best Year
From creating new services to making better use of tech, if you’re among the planners hoping to make 2018 your practice’s best year ever, here are seven strategies that can help.
Be Careful about Working for a Home Health Agency
Home health agencies and home visiting companies are employers that physicians should approach with great caution.
Coding for Advance Care Planning
What do practices need to know about coding for advance care planning? Here is some guidance from the AAPC's John Verhovshek.
An Overview of Recent Legal Troubles for Physicians
Recent legal cases show why physicians need to remain buttoned-up tight when it comes to the legal side of practicing medicine.
The Cost of Miracle Drugs
Miracle drugs may not exist in the truest sense of the term, but any drug that comes with an easy co-pay is a miracle drug in this doctors eyes.
How to Choose Between Modifiers 25 and 57
When do you use modifier 25 or 57? Coding expert John Verhovshek explains the difference when coding an E&M service.
A Plan of Attack on Getting What You Owe from Payers
Your team of physicians, administrators and lawyers can help you get what you rightfully owe using data-driven tools.
2018 Coding Updates: Vaccines, Consult Codes
Coding expert Bill Dacey has some of the most recent updates to the coding manual. What do you have to know for 2018?
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