A new study in the BMJ suggests that the more services a physician provides to his or her patients, the less likely the physician is to be sued for malpractice.
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The Switch to ICD-10
The long-anticipated implementation of ICD-10 coding finally began this past Thursday, October 1, 2015. As of that date, government and commercial payors ceased to accept claims under the old coding…
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Expanded Authority for CMS to Deny Enrollment and Revoke Medicare Billing Privileges
You may have heard that CMS recently expanded its authority to deny enrollment and revoke the Medicare billing privileges of providers and suppliers. The new changes could affect any physician,…
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OIG Announces 2013 Priorities
OIG has announced its priorities for 2013 and some are of special interest to physicians.
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Enforcement Update – Bad Actors Continue to Pay
Recent press releases provide notice of activities that draw the government’s ire — and result in serious criminal consequences. Focusing on these issues is a helpful exercise for any physician trying to stay within the law.
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OIG Alert Encourages Physicians To Use Care When Reassigning Medicare Payments
Physicians who reassign their right to bill the Medicare program can still be liable for false claims…
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Physicians Begin Seeing Recovery Audit Contractor (RAC) Letters
Medical practices and physicians are beginning to receive both audit and repayment letters from RACs. So ,if you’re still not familiar with this aggressive audit and recovery program, your are well-advised to begin preparing for the possibility that some of your claims may be reviewed by a RAC.
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Medicare Rules on Preventive Care Services
It is apparent that preventive care will take on greater importance in the "reformed " health care system and while Medicare historically did not cover routine or preventive screening services, the…
Changes to Medicare Anti-Markup Rules Effective January 1, 2009
Does your practice bill Medicare for diagnostic tests? If so, you have until January 1, 2009 to make sure your arrangements comply with the now very complicated anti-markup rule.
Continue Reading Changes to Medicare Anti-Markup Rules Effective January 1, 2009