Florida has fundamentally shifted the compliance landscape for patient credit balances. With the enactment of CS/CS/SB 1808 (Refund of Overpayments Made by Patients), health care facilities and practitioners are now
Continue Reading Florida’s New Patient Overpayment Refund Law: The 30-Day Clock for Providers, Practitioners, and FacilitiesA 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.
Continue Reading New Study Suggests Defensive Medicine May Be Effective in Reducing Malpractice Liability
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
Continue Reading The Switch to ICD-10
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,
Continue Reading Expanded Authority for CMS to Deny Enrollment and Revoke Medicare Billing Privileges
OIG has announced its priorities for 2013 and some are of special interest to physicians.
Continue Reading OIG Announces 2013 Priorities
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.
Continue Reading Enforcement Update – Bad Actors Continue to Pay
Physicians who reassign their right to bill the Medicare program can still be liable for false claims
Continue Reading OIG Alert Encourages Physicians To Use Care When Reassigning Medicare Payments
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.
Continue Reading Physicians Begin Seeing Recovery Audit Contractor (RAC) Letters
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
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