Billing Compliance

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.

Four changes that can improve the value of quality metrics.

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

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.

Don’t let your Medicare Part B reimbursement for advanced imaging be impacted by the CMS Mandate taking effect on January 1, 2022!

Compliance measures can assist healthcare industry participants avoid potential liability, whether civil or criminal, under the False Claims Act.

A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.

HHS-OIG items of interest for providers.

The National Health Care Anti-Fraud Association estimated that healthcare fraud costs the nation $68 billion annually.

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.

What the new HL7 interoperability standards means for providers.

DHS profit distribution compliance may require modification of physician contracts, compensation policies, and other documentation within the practice

Few employers readily assume responsibility in initial contracts — make sure you read the fine print and negotiate.

To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.

Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year

The differences between the two are important to note in your consideration of your collection strategy

How new technology is curing ailments and streamlining processes in one practice’s AP department.

As the year ends, this latest HIPAA settlements serve as a reminder of what should be included in 2020’s resolutions.

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.

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.

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.

A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.

Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits. 

A look at recent lawsuits the U.S. Department of Justice has pursued for illegal upcoding, downcoding, and excessive coding claims.