Medicare Compliance & Reimbursement
Compliance:
Know Your Rights and Responsibilities in Possible Healthcare Fraud Cases
Honesty really is the best policy. Government enforcement efforts under the False Claims ... Read more
Know Your Rights and Responsibilities in Possible Healthcare Fraud Cases
Honesty really is the best policy. Government enforcement efforts under the False Claims ... Read more
Medicare Regulations:
Pocket These Tips for Categorizing Medicare and VA Claims Correctly
Don't let confusion about where to submit a government payer claim derail your reimburseme... Read more
Pocket These Tips for Categorizing Medicare and VA Claims Correctly
Don't let confusion about where to submit a government payer claim derail your reimburseme... Read more
Medicare Regulations:
Use an Additional Code for ACP Conversation
Question: My provider is conducting conversations about advance care planning (ACP) during... Read more
Use an Additional Code for ACP Conversation
Question: My provider is conducting conversations about advance care planning (ACP) during... Read more
Compliance:
Rely on These Resources for CDI Research
Question: Which resources are useful in the daily workflow of clinical documentation integ... Read more
Rely on These Resources for CDI Research
Question: Which resources are useful in the daily workflow of clinical documentation integ... Read more
Compliance:
Bolster Continuity of Care Through Documentation
Question: I feel like providers are grateful for billers and coders for sorting through so... Read more
Bolster Continuity of Care Through Documentation
Question: I feel like providers are grateful for billers and coders for sorting through so... Read more
Medicare Regulations:
Know Obligations in Case of Bankruptcy
Question: Does a medical practice have any obligations to Medicare or Medicare Administrat... Read more
Know Obligations in Case of Bankruptcy
Question: Does a medical practice have any obligations to Medicare or Medicare Administrat... Read more
Medicare Regulations:
Look for Payment for Some HIV Drugs as Additional Preventive Services
Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for... Read more
Look for Payment for Some HIV Drugs as Additional Preventive Services
Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for... Read more
Medicare Regulations:
Find Appropriate Payer Order
Question: One of our patients is 69 but their spouse is 63 and works for a mom-and-pop bus... Read more
Find Appropriate Payer Order
Question: One of our patients is 69 but their spouse is 63 and works for a mom-and-pop bus... Read more
Medicare Regulations:
Medicare Preventive Services Get a Boost for 2025
CMS changes will enable providers to detect problems earlier, when treatment is most effec... Read more
Medicare Preventive Services Get a Boost for 2025
CMS changes will enable providers to detect problems earlier, when treatment is most effec... Read more
Compliance:
Make Monitoring a Linchpin of Your Compliance Program
Compliance officers can delegate monitoring processes to managers and supervisors. The U.... Read more
Make Monitoring a Linchpin of Your Compliance Program
Compliance officers can delegate monitoring processes to managers and supervisors. The U.... Read more
Compliance:
See What Distinguishes a Diligence Audit
Question: I'm reading more about compliance and recently saw the term “diligence audit.�... Read more
See What Distinguishes a Diligence Audit
Question: I'm reading more about compliance and recently saw the term “diligence audit.�... Read more
Compliance:
Establish Policies to Reach Audit Goals
Question: I know audit policies are part of a comprehensive compliance program, but what s... Read more
Establish Policies to Reach Audit Goals
Question: I know audit policies are part of a comprehensive compliance program, but what s... Read more
Medicare Regulations:
Beware More Oversight Coming for Remote Patient Monitoring
More remote capabilities may mean more responsibilities — and oversight. In September 2... Read more
Beware More Oversight Coming for Remote Patient Monitoring
More remote capabilities may mean more responsibilities — and oversight. In September 2... Read more
Compliance:
Stick to Same DOS to Stay Compliant
Question: Can the time spent by the doctor preparing for a patient's appointment a da... Read more
Stick to Same DOS to Stay Compliant
Question: Can the time spent by the doctor preparing for a patient's appointment a da... Read more
Medicare Regulations:
Find Clarity on MSP Types
Question: I'm trying to navigate situations in which a patient is a Medicare beneficiary b... Read more
Find Clarity on MSP Types
Question: I'm trying to navigate situations in which a patient is a Medicare beneficiary b... Read more
Compliance:
Reach an Understanding Before Signing Agreements for Audits
Question: We are hiring an external entity to perform an audit to assess the performa... Read more
Reach an Understanding Before Signing Agreements for Audits
Question: We are hiring an external entity to perform an audit to assess the performa... Read more
Compliance:
Maintain Office Compliance With These HIPAA Tips
Staff training should be ongoing, not just once a year. As a healthcare professional freq... Read more
Maintain Office Compliance With These HIPAA Tips
Staff training should be ongoing, not just once a year. As a healthcare professional freq... Read more
Medicare Regulations:
Follow Guidelines for Beneficiary Referral Visits
Question: One of our providers saw a Medicare beneficiary who visited for a problem that o... Read more
Follow Guidelines for Beneficiary Referral Visits
Question: One of our providers saw a Medicare beneficiary who visited for a problem that o... Read more