Physicians who reassign their right to bill the Medicare program can still be liable for false claims
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Reimbursement
According to Recent Study, Future May Not Be Bright for US Physicians
By Todd Rodriguez on
According to a recent study published in the September issue of Health Affairs, one of the key drivers behind the skyrocketing healthcare costs in the United States is the amount…
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Employed by a Hospital? Beware the New 3-Day Window Rule
By Fox Rothschild LLP on
Hospital-owned practices may take an unexpected hit in revenue under a new Medicare rule that bundles certain physician service fees into hospital payments. The so-called “payment window” rule (sometimes referred to…
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Medicare Physician Fee Reform May be on the Way
By Todd Rodriguez on
On November 24, 2009, the U.S. House of Representatives passed the Medicare Physician Payment Reform Act" (H.R. 3961) which would repeal the scheduled 21% fee reduction scheduled for January 2010. The legislation…
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No Long Term Fix for Medicare Physician Fee Cuts
By Todd Rodriguez on
Despite efforts by Senator Harry Reid to pass legislation which would have effectively frozen Medicare payment rates for physicians, it looks like Congress will once again look to freeze physician…
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Payors Looking to Better Manage Imaging Services
By Todd Rodriguez on
According to a recent article published on AIS Health.com, Blues plans are increasingly turning to radiology management firms to help manage costly imaging services. This is a new twist on the…
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Geisinger Health System Offers 90 Day Warranty on Surgical Care
By Todd Rodriguez on
Under what it is calling its Provencare program, Geisinger Health System is now offering patients what amounts to a ninety warranty on surgical care. Under the program – something…
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A Recent Case on Physician Supervision of Incident-To Services
By Todd Rodriguez on
The Medicare incident-to rules permit a physician to bill for the services of auxiliary personnel as if the physician performed those services himself. You may already know that the incident-to rules require…
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Congress Passes Tax Relief and Health Care Act of 2006
By Todd Rodriguez on
Both the House and the Senate have now passed the Tax Relief and Health Care Act of 2006 which, among other things, would eliminate the 5% cut in Medicare physician…
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Pending PA Insurance Legislation Could Be Good News for Physicians
By Todd Rodriguez on
Pending PA legislation would limit most insurance refund demands and retroactive payment denials by third party payors to a one-year lookback period except where fraud or miscoding occurs. The full text of…
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