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?
Billing & collections
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
Creativity helps increase patient payments
If your practice is like most, it regularly struggles with patient payment issues. Churchland Internal Medicine in Chesapeake, VA, has found a solution – actually several – to help resolve payment problems. "In our office, when a patient is asked for a payment on a balance and does not pay, we set up a payment agreement," says Linda Warren, office manager. Then, the office … [Read more...] about Creativity helps increase patient payments
Concierge medicine – coming on strong
– a MOM mini seminar – Direct care, boutique medicine, retainer medicine – by whatever name, concierge medicine is a patient-physician arrangement where the patient pays an annual fee or retainer, the physician reduces the patient population from several thousand to an average of 300 to 600, and patients get personal 24-hour access to the physician and, … [Read more...] about Concierge medicine – coming on strong
10 accurate acronyms ensure you get paid
Medical coding is primarily numbering, but acronyms are also important for accurate billing. Here are 10 of the most common. Keep this list handy for reference: CMS (Centers for Medicare and Medicaid Services)—Division of the United States Department of Health and Human Services that administers Medicare, Medicaid and the Children’s Health Insurance Program. EDI (Electronic … [Read more...] about 10 accurate acronyms ensure you get paid
How the right payment technology can improve profitability at your practice
By Brent Warrington bio Medical practice profitability is a regular concern for practice managers. Now the Affordable Care Act has perhaps shined a brighter light on what it takes to stay in the black. What's more, insurance companies are under pressure to manage costs and grow revenue, sometimes resulting in lower payments to physicians for patient visits, services, … [Read more...] about How the right payment technology can improve profitability at your practice