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3 Compliance Areas Under Scrutiny

As efforts to combat fraud, waste, and abuse intensify, the government is increasing its scrutiny of medical practices. This is a busy time for compliance and it will only get busier. The government has put forth many initiatives to fight fraud and abuse. The following three initiatives for medical practices to watch for: 1. Overpayments. Read more

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What Would the Newly Insured Look Like?

In 2014, more than 12 million Americans are expected to enter the insurance market to buy health insurance from state or federally operated health benefit exchanges. By 2021, the exchange market is expected to have doubled, which will mark the single largest expansion of health care benefits since the introduction of Medicare in the 1960s. Read more

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How to Access Your Aetna’s Fee Schedule in California

In accordance with the regulations issued pursuant to the Claims Settlement Practices and Dispute Mechanism Act of 2000 (CA AB1455 for HMO) and pursuant to the expansion of the Health Care Providers Bill of Rights (under CA SB 634 for indemnity and PPO products), Aetna is providing providers with information about how to access your Read more

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8 New Preventive Services Covered for Women

Health and Human Services (HHS) has added eight new prevention-related health care services that all health plans must cover with no out of pocket expense to the patients. The new health care rules require that the coverage of these services take effect at  the patient’s next renewal date–on or after August 1, 2012—for most health Read more

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10 Checklists to Improve Your Patient Schedule

Would you like to improve your practice’s bottom line? Start by having your appointment scheduler gather basic patient information before a visit. The following 10 checklists will help your scheduler as a quide to capture all the necessary information, and, at the same time, also create a rapport with your patients: [  ] Full legal name Read more

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Do You Need a Business Associate Agreement for a Web-based Scheduling Software?

Q: Do you need to have a business associate agreement with your online appointment scheduling service? A: Yes. In a recent case, a physician group in Arizona reached a $100,000 settlement agreement with the U.S. Department of Health and Human Services (HHS). In addition, the group had to take corrective action to implement policies and procedures Read more

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