By Nick Hernandez bio The changes to the healthcare industry are increasingly focused on addressing patients as consumers. Such a change means that providers must, of course, emphasize quality and work toward price transparency, but they must also seek to determine what patients desire most. It is this last effort that is transforming the healthcare sector more like businesses … [Read more...] about Prevent losing your patients by focusing on these 4 areas
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5 ways to break down bureaucracies to get payer contracts
By Steve Selbst bio It is important to remember that payers are large companies, with protocols, policies and business practices. As with any large company, there are bureaucracies, and they are necessary to maintain the order and success of these organizations. Therefore, the first tip is to understand that to get contracted you need to identify the right department and … [Read more...] about 5 ways to break down bureaucracies to get payer contracts
Feds Take Down $2.1 Billion Medicare Genetic Test Fraud Scheme
You know that a branch of lab testing has gone from fad to mainstream when it becomes the subject of a major federal enforcement takedown. Accordingly, the newly announced breakup of a $2.1 billion genetic billing fraud scam, one of the largest Medicare frauds ever undertaken, signifies that genetic testing has officially arrived. Operation Double Helix Known as Operation … [Read more...] about Feds Take Down $2.1 Billion Medicare Genetic Test Fraud Scheme
Better productivity and a happier staff happen as ergonomics steps in
Ergonomics is good economics. When the work areas are in sync with the people spending their days in them, there’s no time lost to sick days and no money lost to low productivity, says Hayley Kaye, a certified professional ergonomist with HLK Consulting in New York City. Achieving that calls for attention to the desks, the telephones, and the chairs. But it also calls for … [Read more...] about Better productivity and a happier staff happen as ergonomics steps in
HIPAA enforcement takes a dramatic new direction
Historically, HIPAA enforcement has focused predominantly on the failure of covered entities to keep protected health information (PHI) private and secure; but now the scope is broadening to encompass keeping PHI too private and too secure. The HHS Office for Civil Rights (OCR), the agency that enforces HIPAA rules, has broken new ground by fining a Florida hospital for failing … [Read more...] about HIPAA enforcement takes a dramatic new direction
How to assess the overall health of your medical practice
By Nick Hernandez bio How do you know that your overall business is healthy? How do you know that the business processes you perform are working properly? Now, how would others in your practice know? Metrics are important for a number of reasons. For starters, if you don't know how well you are doing, how do you know what to keep doing and what to change? Words without … [Read more...] about How to assess the overall health of your medical practice
3-point retention strategy
By Julie Ellison bio Great medical offices are built with great people. In today's competitive employment market, it's hard enough to recruit those great people, but the real challenge is getting them to stay. Traditional retention strategies haven't worked so it's time to take a fresh look at how to keep the best people you have. Benefits vs. retention We often … [Read more...] about 3-point retention strategy
The plain and practical side of medical office managing
Equally as important as regulations, revenue, coding, and Medicare are the day-to-day issues of running the office and managing people. Here are solutions to many of the ongoing and aggravating issues managers face every day. They don't come from management school. They are the wisdom of consultants and of managers in medical offices. And they are all simple, workable … [Read more...] about The plain and practical side of medical office managing
MIPS bonuses are easy to earn—IF you can get into the program
The Centres for Medicare and Medicaid Services (CMS) has announced the results of 2018, Year 2 under the Merit-based Incentive Payment System (MIPS). Bottom line: The total number of clinicians participating declined from 1.06 million to 916,058. However, the success rate of participants was higher with 97.6% earning an upward payment adjustment on their Medicare Part B claims … [Read more...] about MIPS bonuses are easy to earn—IF you can get into the program
Immigration, salary threshold, LGBTQ discrimination, emojis and more
By Mike O'Brien bio Immigration alert—more Social Security "no-match" letters to issue this fall: The Social Security Administration (SSA) just announced its plan to mail a second set of "no-match letters" to employers this fall. These notices request employers to reconcile wage reports and credit employees' earnings to their Social Security records, stating there is … [Read more...] about Immigration, salary threshold, LGBTQ discrimination, emojis and more