Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order.  Yet, not all requests should be treated the same.  When a request for documentation is propounded by the “Special Investigation Unit” (S.I.U.)  of an insurance company, special care should be exercised … Continue Reading

The CDC has issued and updated specific guidance on the COVID-19/Coronavirus pandemic for health care professionals on its website (accessible here: CDC Coronavirus – Health Care Professionals) and has advised health care facilities and clinicians (including physicians and dentists) to “prioritize urgent and emergency visits and procedures now and for the coming several weeks.” (See:  CDC Guidance for Health Continue Reading

***UPDATE:  Effective as of May 8, 2020, the PA DOH as issued revised Guidance permitting dental practices to resume non-urgent and elective care with limitations.  See our post here.

Effective as of March 21, 2020, the PA DOH has issued guidance on what medical procedures are permitted in ASFs.  The DOH also updated its order regarding dental procedures.  This Continue Reading

With the recent outbreak of the Coronavirus (COVID-19) and the significant governmental actions being taken at federal, state and local levels, physicians and dentists around the country are seeking guidance on how to continue to treat patients while ensuring that the health of their employees and patients is protected.

Whether your practice is open or temporarily closed, you may be … Continue Reading

Pennsylvania’s Patient Test Result Information Act, which is set to take effect December 23, 2018, requires diagnostic imaging services providers that identify a “significant abnormality” in their test results to directly notify the patient or his/her designee within 20 days of the completed test, its review and its delivery to the ordering health care practitioner.  The new law defines the … Continue Reading

Beginning April 1, 2017, the regulations regarding opiate prescribing will be changing.  A Delaware healthcare practitioner will only be able to prescribe initial opioid prescriptions for acute pain episodes for up to seven (7) days for adult patients, and are required to follow new rules for chronic pain patients and patients that require more opioid medications for their acute pain … Continue Reading

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 system (ICD-9).  The transition has been five years in the making due to a government delay in 2012.

The new system has five times the codes of the prior system, … Continue Reading

You may have heard some years ago that the Affordable Care Act established a “60-day overpayment rule” that requires a provider to report and return any overpayment from a federal health care program (such as Medicare or Medicaid) within 60 days of “the date on which the overpayment was identified” by the provider (for certain institutional providers, the overpayment must … Continue Reading

Curious what the future of medicine will look like?  According to this recent article on CNBC.com, it appears that for many physicians it will involve a boss, a timeclock and a steady paycheck.  Not surprisingly, as the legal and administrative burdens of running a private practice continue to increase, more and more seasoned physicians are making the leap to … Continue Reading

According to a a major study published in the Archives of Internal Medicine this week, almost half of physicians surveyed (over 7,000 physicians were surveyed), reported at least one symptom of burnout.  As a recent article in the Atlantic points out, although physician burnout may not be news to most physicians who are living with the realities of shrinking reimbursements, growing costs … Continue Reading