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Billing Tip of the MonthHow to Improve Your Collection Calls ResultsMarline Juarez, Valley Springs Physical Therapy, Acampo, CAAfter our collection process (each office has a certain number of statements they send for collection notices - our office usually sends 3), I follow up with a phone call. Instead of the usual "Your account is overdue", I follow this plan... Read More Top News and Ideas from IndustryExtension of the 2011 Physician Payment Rates and Other PoliciesSusan Vecchi-Cedrone, Becker’s ASC Review, Jan, 6, 2012On Dec. 23, 2011, President Obama signed the Temporary Payroll Tax Cut Continuation Act of 2011 (TPTCCA), which included postponing the SGR reduction of 27.4 percent through the month of February. While the physician fee schedule will be a zero update, other changes to the RVUs used to calculate the fee schedule rates must be budget neutral and is accomplished by adjusting the 2012 fee schedule... Read More More Consumers Choosing High-Deductible PlansEmily Berry, Amednews, Jan. 2, 2012Patients are taking on health insurance that requires them to pay more out of pocket -- but they’re not necessarily putting money aside to cover the cost… Read More CMS Announces New FAQs for 90 Day Discretionary Enforcement Period of 5010CMS, Dec. 29, 2011Medicare Fee-For-Service (FFS) issued an announcement Wednesday, December 14, 2011 regarding its plan for the 90 Day Discretionary Enforcement Period for non-compliant HIPAA covered entities. CMS has published six FAQ items related to this plan… Read More Healthcare Industry Not Ready for 5010; MGMA Calls for 6-month Contingency PlanHIMSS News, Dec. 20, 2011The latest research from the Medical Group Management Association (MGMA) on the transition to the new HIPAA Version 5010 electronic transaction standards highlights the need for the Department of Health and Human Services (HHS) to immediately issue an expanded contingency plan... Read More Anticipated Regulations for 2012 from CMS and ONCHIMSS News, Dec. 22, 2011Several Notices of Proposed Rulemaking (NPRMs) are anticipated to come from CMS and ONC this winter. This chart, updated Dec. 22, outlines the regulations that are currently anticipated... Read More OIG Releases Health Care Provider Compliance VideosAAPC News, Dec. 15, 2011If you are interested in learning about the fundamentals of health care compliance, the Office of Inspector General (OIG) has just what you need. The OIG has released Health Care Fraud Prevention and Enforcement Action Team (HEAT) provider compliance training videos and podcasts… Read More Medicare Drug Plans to Withhold Pay If They Suspect "Doctor Shopping"Charles Fiegl, Amednews, Dec. 22, 2011Federal officials have written a memo instructing Part D payers to end the "pay-and-chase" model for fighting improper drug claims. The Dept. of Health and Human Services has asked Medicare Part D sponsors to take extra precautions to stop improper payments for prescription drugs. The administration wants drug plans to raise red flags when they see suspicious claims… Read More Physicians Are Paid Less to Give Combination VaccinesVictoria Stagg Elliott, Amednews, Dec. 21, 2011Medical practices generally earn less giving a single shot that protects against five diseases than injecting component immunizations separately, even though the same amount of counseling time is often required for combination shots as single vaccinations, according to a study… Read More New "Independent at Home" Demo Revitalizes the House CallAAPC News, Dec. 30, 2011The Centers for Medicare & Medicaid Services (CMS) would like to reintroduce the concept of the “house call” to modern medicine with a new demonstration project. Under the “Independence at Home Demonstration,” participating practices will provide home-based primary care to targeted chronically ill Medicare patients for a three-year period… Read More Tick, Tick, Tick: Strategies for Reducing ICD-10 AnxietyLisa Eramo, For the Record, Dec. 5, 2011Coder anxiety is bound to grow as the ICD-10 deadline approaches, but there are several strategies to help ease the tension… Read More
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