Start Your FREE Membership NOW
 Discover Proven Ways to Be a Better Medical Office Manager
 Get Our Weekly eNewsletter, MOMAlert, and MUCH MORE
 Absolutely NO Risk or Obligation on Your Part -- It's FREE!
EMAIL ADDRESS



Upgrade to Premium Membership NOW for Just $90!
Get 3 Months of Full Premium Membership Access
Includes Our Monthly Newsletter, Office Toolbox, Policy Center, and Archives
Plus, You Get FREE Webinars, and MUCH MORE!
CMS

Physician Compare Preview Period open until Aug. 20

The Physician Compare 60-day Preview Period is officially open as of June 22. You can now preview your 2018 Quality Payment Program performance information before it will appear on Physician Compare profile pages and in the Downloadable Database. You can access the secured Preview through the Quality Payment Program website. Access the resource below on how to preview your data: · Physician Compare Preview Period User Guide For additional assistance with accessing the Quality Payment Program website, or obtaining your EIDM user role, contact the Quality Payment Program service center at QPP@cms.hhs.gov. To learn more about the 2018 Quality Payment Program performance information that is available for preview as well as the 2017 clinician utilization data that will be added to the Downloadable Database, download these documents from the Physician Compare Initiative page: · Clinician Performance… . . . read more.

ENFORCEMENT

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 Double Helix, this landmark investigation and prosecution was a joint HHS, DOJ and FBI crackdown carried out in five federal districts against 35 defendants associated with genetic testing labs (CGx) and telemedicine companies, including doctors, CFOs and CEOs that allegedly “capitalized on the fears of elderly Americans to induce them to sign up for unnecessary or non-existent cancer screening tests,” according to one of the U.S. Attorneys involved. Old Wine in… . . . read more.

INFORMATION SECURITY

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 to provide access to PHI to the individual it relates to. Here’s a look at the case and what it portends about the new direction in HIPAA enforcement. The HIPAA Right of Access When you hear the term “HIPAA Privacy Rule,” the first thing likely to jump into your mind is the obligation to keep PHI secure and refrain from disclosing it to third parties without appropriate authorization. But there’s… . . . read more.

READER TIPS

Getting that new patient info into EHR before appointment

Here are some reader tips for getting new patient information into the electronic health records prior to…


. . . read more

BILLING & COLLECTIONS

CMS releases 2020 Proposed Rule for the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has released its proposed policies for the 2020 performance year of…


. . . read more

MEDICARE REIMBURSEMENT

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…


. . . read more

INCREASING PROFITS

Deadline to submit a MIPS Targeted Review Request is this month

If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes…


. . . read more

ENFORCEMENT

Doctors pay $1.1 million to settle genetic test kickback claims

Kickbacks for genetic test referrals has become a focus of recent federal enforcement action. The most recent case involves…


. . . read more

CMS UPDATES

Tell your patients about the new eMedicare app launched this year

Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to…


. . . read more

BLOG

Top 4 trends shaping the healthcare industry

By Leora Borgenicht  bio
Before the healthcare industry can ambitiously transform to offer more accurate and personalized patient care, certain stepping stones must…


. . . read more


(-0)