Open Payments – Only 5.6% of physicians looked at their CMS records
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Open Payments – Only 5.6% of physicians looked at their CMS records

Accounts Receivable - Get paid for your claims

The Centers for Medicare and Medicaid Services (CMS) announced last week that in 2016, only 5.6% of physicians nationwide reviewed their data under the Medicare Open Payments program. Under the Open Payments program, drug and medical device manufacturers are required to report their financial interactions with licensed physicians – including consulting fees, travel reimbursements, research Read more

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Digitize Your Medical Practice

Digital Check-in

Technology is advancing quickly here in the 21st century. As a result, medical practices should take steps to upgrade the technological capabilities of their practices with fast internet access, up-to-date software and computers, otherwise, they could be left behind. EFTs – Electronic Funds Transfers EFTs help you to receive your payments electronically from health plans. This Read more

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HIPAA Compliant Email Vendors

Digital Check-in

With the latest Yahoo breach, encrypting your email is a great idea. As a medical practitioner though, you need to make sure that the people you’re communicating with are using the same email system as you are. You also need to make sure that you have a BAA signed with the email provider so as Read more

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Can you collect 20% that Medicare does not cover from a Medi-Medi patient?

Billing Statement Doctor

The short answer is “No”. Both state and federal law provide broad protections to Medicare/Medi-Cal dual eligible individuals, and prohibit billing a Medi-Cal patient in most circumstances. California’s Department of Health Care Services takes the position that a physician should first bill Medicare and then bill the Medi-Cal program for the services. Only if the Read more

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How to Handle Patient Request for Medical Records

Digital Check-in

A patient has a legal right to access his or her health record under HIPAA and state law. An oral, handwritten, faxed or emailed request from the patient or patient representative should be honored. Time Allowed to Complete Request The California timeline is shorter than the HIPAA timeline, so all practices must comply with the Read more

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Independent Contractors: Are You Classifying Exempt Employees Correctly?

Group of workers

A true independent contractor is a person who works independently of the owner, has a contract with the practice to perform special services and makes their own schedule. Practice owners should approach such work arrangements with caution. Most employee attorneys advise that employers should err on the side of caution and classify workers as employees. Read more

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How to Read an EOB / ERA

ERA/EOB - Reimbursement

Many physician practices recognize the Health Information Portability and Accountability Act (HIPAA) as both a patient information privacy law and electronic patient information security law. However, HIPAA actually encompasses a number of regulations. As such, the federal government has published several “rules” that instruct the health care industry on how to comply with the law. Read more

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New Rule Gives Patients Direct Access to Lab Test Results

Laboratory Test

On Monday, the U.S. Department of Health and Human Services (HHS) announced that patients will soon be able to obtain their medical test results directly from their laboratory, rather than having to request a copy from their physician’s office. Currently, 13 states currently prohibit labs from releasing test results directly to patients. At the present, Read more

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When is a “New Patient” Considered “NEW”?

Define a "New Patient" visit?

In 2012, the American Medical Association (AMA) revised its definition of a “New Patient” in its Current Procedural Terminology (CPT®) book. However, CPT®’s definition of a new patient did not mean Medicare would necessarily follow suit. Indeed, this change did not have any impact on Medicare Part B claims. CPT® defines a new patient as: Read more

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Getting Ready for 2014 eHealth Milestones

Health Care Reform

Centers for Medicare & Medicaid Services (CMS) is advising providers and groups to start planning and getting ready for 2014 deadlines affecting electronic health record (EHR) programs. Some of the major deadlines are as follows: January 1: Administrative simplification operating rules for electronic funds transfers (EFT) and remittance advice. Stage 2 for eligible professionals (EPs) Read more

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