The medical biller of a Chicago-area visiting physician practice was recently sentenced to 45 months in prison for her role in a $4 million health care fraud scheme. Assistant Attorney General Leslie R. Caldwell of the Justice Department's Criminal Division, U.S. Attorney Zachary T. Fardon of the Northern District of Illinois, Special Agent in Charge Lamont Pugh III of the … [Read more...] about Medical biller sentenced to 45 months in prison for role in $4 million health care fraud scheme
Billing and collections
These resources help with ICD-10 compliance
If you missed Medical Office Manager's webinar, "10 Things You Must Know About ICD-10," you definitely want to review the webinar recording and slides, available here. Coding expert Judy Monestime shared information during the presentation that will help your practice meet the October 1, 2015 deadline, and provide assistance as you continue to transition from ICD-9 to … [Read more...] about These resources help with ICD-10 compliance
Three electronic conveniences also help with EHR requirements
A Columbus, MS, pediatrics practice has added three electronic items that not only provide convenience for patients but give the office EHR meaningful use credit. First is online bill paying. That's provided through the office's billing service, says Sabrina McDow, CEO of Children's Health Center of Columbus. The invoices give a website for the online payments, but because the … [Read more...] about Three electronic conveniences also help with EHR requirements
Survey finds support for the Affordable Care Act among physician leaders
Results of a comprehensive survey show widespread support for the U.S. Affordable Care Act (ACA) among physicians nationwide. Fifty-five (55) percent of survey respondents say they agree or strongly agree that the controversial law passed in 2010 has "more good than bad" in it. The survey was conducted in spring 2015 by the American Association for Physician Leadership, a … [Read more...] about Survey finds support for the Affordable Care Act among physician leaders
HIPAA and records hiding somewhere in the hospital
Question: One of our physicians took patient charts to the hospital. Two of those charts were lost. They contained personal information such as Social Security numbers as well as the clinical notes. What information should I send to the patients? (Submitted by a New York manager – name withheld by request.) Answer: Respond first with common sense, advises health … [Read more...] about HIPAA and records hiding somewhere in the hospital
Coding tips for respiratory diseases
By Judy Monestime bio ICD-10-CM Chapter 10, "Diseases of the Respiratory System (J00–J99)," identifies codes for a wide variety of pulmonary conditions, ranging from acute upper respiratory infections, pneumonia, influenza, asthma, as well as diseases of the lower respiratory tract including chronic lung diseases and diseases acquired from exposure to external substances. … [Read more...] about Coding tips for respiratory diseases
The balance between kindness and good business: getting your patients to pay their bills
A 2014 survey conducted by the Medical Group Management Association (MGMA) finds that collecting balances due from patients is the seventh most "intense and applicable challenge" for the members surveyed. And no wonder. According to a 2014 survey by the Kaiser Family Foundation, the average yearly deductible in the United States has more than doubled in the last eight years, … [Read more...] about The balance between kindness and good business: getting your patients to pay their bills
How to get paid for filling out patient forms
To charge or not to charge? Medical offices don't value their time as much as they ought, according to the office manager for a family practice in Pennsylvania. And one area that's woefully undervalued is the time spent filling out patient forms for things such as disability verification and the Family and Medical Leave Act (FMLA). That's time consuming for both doctors and … [Read more...] about How to get paid for filling out patient forms
How one practice addressed the issue of delinquent patient payments
A medical practice in Fayetteville, GA, had an ongoing situation with 20 or so longtime patients who believed because they knew the doctor personally and even socialized with him that they could pay for medical services when it was convenient for them. Yet, Rick E. Blondeau, practice manager, believed the doctor shouldn't wait to be paid for his service that he performed in … [Read more...] about How one practice addressed the issue of delinquent patient payments
New Orleans jury convicts two doctors, a nurse, and an office manager for roles in $50 million fraud scheme
A jury in New Orleans has convicted four employees of medical service clinics for their roles in a $50 million Medicare fraud scheme. Assistant Attorney General Leslie R. Caldwell of the Justice Department's Criminal Division, U.S. Attorney Kenneth A. Polite of the Eastern District of Louisiana, Special Agent in Charge Michael J. Anderson of the FBI's New Orleans Field … [Read more...] about New Orleans jury convicts two doctors, a nurse, and an office manager for roles in $50 million fraud scheme