All providers in all specialties want to maximize their revenue, while maintaining compliant practices. There are constant state by state, payor by payor, evolutionary changes in most areas of medical practice. One of the challenges is to be able to keep up with these changes at all levels of the organization.You may have a collection […]
A friend of mine was thrilled to finally have health insurance again, after being uninsured for several years. He had gone to see a primary care physician, because although he felt fine, he was smart enough to know that once you reach a certain age, it can be important to have things checked out. His […]
Last month, on November 7, 2014, the WUSB 90.1 radio show, The Business of Healthcare with host Susan Montana, featured guest Laura J. Lowenstein, Esq. The interview and discussion was based on Laura’s article posted on her website with the title “Every Hospital and Provider Needs to Understand the Mais Decision” LISTEN to the Radio […]
How important are solid policies and procedures, including clinical best practices? This is something that became very popular in the news with the identification of three cases of Ebola here in the US. But it’s also something that I’ve encountered personally over the summer as my mother had her knees replaced, my brother experienced a […]
Has the Affordable Care Act impacted your business yet? If you’re a medical practice or if you have medical practice clients, HIPAA Privacy documents need to be updated. The OCR (Office for Civil Rights) is responsible for making sure medical practices have implemented the new privacy and security requirements and they’ve begun auditing to see […]
So you’ve decided to implement an internal audit program for your practice. Excellent! There are so many external parties who can scrutinize your internal documentation, so it is a really good idea to see your practice from their perspective. An internal audit/review is an outstanding and comprehensive tool. The first decision is to determine what […]
So you’ve selected which type of internal audit/review you’re going to conduct for your practice. Now you need to determine if you’re going to do an audit or a review. What is the difference you may ask? Audit An audit is conducted after claims have been submitted to a payor. The advantages are that a […]
It started as a professional curiosity, but now it has become a habit, and I recommend it to everyone. Maintain your own medical record. I’ve found this helps me better understand what is going on with my own health, and it also makes it easier to communicate amongst the various healthcare practitioners you may […]
Many medical practices are feeling the impact of the Medicare Recovery Audit Contractor (RAC) process, especially as non-Medicare payors have gotten on the band wagon. It is difficult enough to submit claims and receive payment for all the services you provide, but now they want to take back payments – sometimes years later! What can […]
Yikes! Want to know why all this HIPAA stuff is so important for medical practices? Look at who is Number One on the hit list – private practices. Are YOU in compliance??? Here’s what HHS says: “Since the compliance date in April 2003, HHS has received over 90,001 HIPAA complaints. We have resolved 94% of […]