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Guest Author Steve Spearman: A Meaningful Use Audit, What to Expect: A Doctor Speaks

by Abraham Whaley | Feb 10, 2013 | Compliance, Day-to-Day Operations, Electronic Medical Records, Finance, Headlines, Medicare & Reimbursement

If you read my alert from August or the followup article on Audit Red Flags to Avoid, you are aware that CMS hired an accounting firm, Figliozzi & Company, to audit the compliance of eligible providers and eligible hospitals that had already received payment under...

Physicians are Leaving Hospital Employment and Starting New Practices on Their Own Terms

by Mary Pat Whaley | Jan 23, 2013 | Headlines, Innovation, Medicare & Reimbursement, Memes

In our consulting practice we are seeing physicians fleeing hospital employment just when many people are predicting the death of the private medical practice. We affectionately call these physicians our “Single Shingles” and they are approaching private...

Why You Can’t Get An Annual Medicare Physical

by Mary Pat Whaley | Jan 22, 2013 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, Medical Coding Education, Medicare & Reimbursement

In 2011, the Centers for Medicare and Medicaid (CMS) unveiled a new benefit to address the need for annual care for seniors. It was widely hailed as a wonderful thing for Medicare patients who previously had no preventive care unless they paid out-of-pocket for a...

RAC Alert: How to Bill Medicare for Hospice Patients When You Are Not the Hospice Provider

by Abraham Whaley | Jan 20, 2013 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, Medicare & Reimbursement

What is Hospice? Hospice care focuses on improving the quality of life for persons and their families faced with a life-limiting illness. The primary goals of hospice care are to provide comfort, relieve physical, emotional, and spiritual suffering, and promote the...

The Medical Manager’s 2013 Flu Season Update

by Abraham Whaley | Jan 15, 2013 | Collections, Billing & Coding, Day-to-Day Operations, Headlines, Leadership, Medicare & Reimbursement

Oh, hello #Flu, you’re a little early this year: sick.io/ksxfm — Sickweather (@sickweather) October 19, 2012   The tweet above was sent out by a very interesting start up named Sickweather on October 19th of last year. Sickweather analyzes data from Twitter...

The Medicare “Billing Bible” Changes Claims Processing Instructions for PAs, NPs, CNSs, CPs, and CSWs

by Mary Pat Whaley | Jan 6, 2013 | Collections, Billing & Coding, Medicare & Reimbursement

Chapter 12 of the “Medicare Claims Processing Manual” (Medicare Billing Bible) is about to change to reflect deleted and/or corrected information as it relates  to Claims Processing Instructions for Non-Physician Practitioners (NPPs), i.e., Physicians...
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