Risk & Compliance Management

Are You Causing Staff Turnover?

No matter the size of your medical practice, staff turnover can cause problems if there isn’t adequate staff to ensure patient appointment demands are met.  Could some of the turnover be prevented if we took a different approach to managing our practice? The MGMA Connection, August...

Complying with your Medical Billing Compliance Plan

You may recall our blog from August 16, 2016 titled “The Importance of a Coding Review”, where we discussed the Office of the Inspector General (OIG) has taken a higher focus on medical practices that have an active compliance plan.  If you are the Compliance...

Are Coding and Billing Mistakes Hurting your Medical Practice?

In today’s healthcare environment, it is imperative to ensure your medical practice performs their billing and coding function at the highest level possible.  In many cases, billing and coding mistakes can cause revenue to decrease; however, the mistakes could also result in overpayments. Either way,...

Holy MACRAoni!

Sadly, this article is not about the best macaroni and cheese recipe.  The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 will soon change the payment methodology for medical practices.  MACRA’s first performance year starts January 2017.  Hopefully you have already started reading about...

The Importance of a Coding Review

You may recall our blog titled “The Advantages of Medical Coding Compliance” from June 17, 2015, and we want to remind everyone that having an active compliance program is key to avoiding financial penalties, and possible exclusion from the Medicare program, for fraudulent billing and...

Are you ready for MACRA changes?

The Medicare Access and Chip Reauthorization Act (MACRA) of 2015 was instrumental in eliminating the Sustainable Growth Rate (SGR) that was tied to Medicare Part B provider reimbursement for years. The good news is that through 2019, Medicare Part B payments will increase by .5%...

Billing for Additional Complaints During the Preventive Examination

Are you leaving money on the exam table? Many providers are performing additional services at the patient’s request during the preventive examination, and not taking credit for their work. While expenses continue to rise in running a medical practice, the practice manager should ensure the providers...

The Medicare 60-day Overpayment Rule now in effect

The Patient Protection and Affordable Care Act, known to most of us in medical practice management as the ACA, or Obamacare, was signed into law by President Obama on March 23, 2010. Nearly six years later, a portion of that law was implemented on March...

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Is Your Medical Practice OS HIPAA Compliant?

If you’ve followed our blog lately, you may have noticed a post we released just a couple of weeks ago titled “ICD-10 Effects on Healthcare Operations and Information Technology”. We discussed the consequences for failing to conduct an IT readiness assessment and the importance of...