A former office manager of a Miami-based physical and occupational therapy clinic was convicted, following a four-day trial, for her participation in a scheme that involved the fraudulent submission of more than $3.3 million in false billing to Medicare. Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, and Shimon Richmond, Special Agent in … [Read more...] about Miami medical office manager convicted of Medicare fraud
Billing & collections
ICD-10 research reveals physicians’ views
Clinical documentation and reimbursement lead the list of concerns that physicians have about ICD-10, according to new research from the CAREinnoLab of Care Communications, Inc., a provider of health information solutions, and the Department of Health Information Management in the School of Health and Rehabilitation Sciences at the University of Pittsburgh. Patty Sheridan, … [Read more...] about ICD-10 research reveals physicians’ views
How to choose the electronic medical records vendor that’s right for you
Choosing the right electronic medical records vendor for your practice can seem like an overwhelming task—and getting it right is crucial. Before any other considerations, you want to be sure than any vendor you are considering is HITECH certified for 2014, so that you can achieve meaningful use stages one and two. This will also ensure HIPAA compliance. Beyond that the options … [Read more...] about How to choose the electronic medical records vendor that’s right for you
Money motivates EHR adoption
The Department of Health and Human Services' Office of the National Coordinator released a data brief in December addressing what motivates physicians to implement electronic health records (EHR) and the answer is … money. The data briefing reveals that financial incentives and reimbursement are currently the top reasons physicians decide to implement EHR. Physicians are … [Read more...] about Money motivates EHR adoption
Is your practice an OIG enforcement target in 2015?
The Office of Inspector General (OIG), which oversees Medicare and Medicaid enforcement, has issued its 2015 Work Plan highlighting the compliance risk areas that it will target in its review and enforcement efforts. You will see some familiar topics, which the OIG also included in last year's plan, such as chiropractic services, place of service reporting, physical therapy, … [Read more...] about Is your practice an OIG enforcement target in 2015?
CMS Medicare physician fee schedule for 2015 Final Rule released
The Physician Fee Schedule Final Rule was published November 13, 2014. It provides not only new payment rates but also changes to Medicare payment policies. Here is a summary of some changes that could affect your medical office. Telehealth services. Specific telehealth services must be included in the list of Medicare telehealth services and meet other conditions for … [Read more...] about CMS Medicare physician fee schedule for 2015 Final Rule released
HIPAA audits looming and small practices far from compliant
A recent survey on HIPAA compliance within small practices and billing companies, conducted by NueMD, a provider of cloud-based medical practice management software for small practices, and The Daniel Brown Law Group, a firm specializing in health care law, finds medical practices and billing companies are struggling to comply with regulations under the Health Insurance … [Read more...] about HIPAA audits looming and small practices far from compliant
Boost revenue by training all staff on coding
Recently, we told you about the importance of getting the right people to handle your coding and billing. But the work doesn't stop once you've hired the best staff or outsourced with a reputable billing company. To keep on top of changes and compliance issues, training is essential. Here are answers to the classic five Ws: Who, What, When, Where, and Why, and the bonus, H: … [Read more...] about Boost revenue by training all staff on coding
Model Tool: Certification table – billing and coding
Why you need this tool: Credentials serve as notification that you have acquired a certain level of knowledge and professional status. As such, they enhance your standing at your current job and your marketability should you seek a new position. How this tool helps you: You may already be eligible, or almost eligible, for billing and coding certifications. How to use this … [Read more...] about Model Tool: Certification table – billing and coding
3 ways to more safely process patient payments and enhance overall security
By Paul Panos bio Today's office managers face security concerns from all sides – from HIPAA compliance to PHI laws. Shouldn't protecting financial data be the last thing on your mind? We've already explored in a previous article how the right payment processing technology can boost a practice's profitability, but it can also enhance a practice's level of security … [Read more...] about 3 ways to more safely process patient payments and enhance overall security