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Practice Management Alert

Tips and Tricks:
Complete These Tasks Before 2021
Take advantage of the year winding down to prepare for 2021. The end of the year is an im... Read more
COVID-19:
Stay Aware of These Agency Updates Related to COVID-19
Know how these federal announcements may impact your practice. With no immediate end in... Read more
Cybersecurity:
Stay Alert to Latest Cyberattack Strategies
Be vigilant against attacks targeting healthcare businesses. Healthcare providers have ... Read more
Reader Questions:
Don’t Miss This Handy CPT® Code for PPE
Question: Can you offer some guidance on the new CPT® code for reporting additional pract... Read more
Reader Questions:
Remember to Update ABN Form
Question: How do I know whether I'm using the correct advanced beneficiary notice (ABN) fo... Read more
Reader Questions:
Note These Resources for Flu Season During a Pandemic
Question: We've been so slammed by COVID-19 that flu season has snuck up on us. Is there a... Read more
Reader Questions:
Resist Urge to Elbow Bump
Question: I've noticed that elbow bumps have replaced the handshake and high five and... Read more
COVID-19:
Beware These New PRF Rules
If you received Provider Relief Funds, make sure you know these updates. The Department o... Read more
Medicare Part B Focus:
Keep On Top of These Medicare Basics
Don't let claims go unpaid due to misunderstanding complicated Medicare policies. Medicar... Read more
Cybersecurity:
Consider These Rules for Mobile Devices
Keep rules simple and straightforward, but enforce them consistently. Many providers are ... Read more
Reader Questions:
Take These Steps Now for PRF Reporting
Question: Now that official Department of Health and Human Services (HHS) details are out ... Read more
Reader Questions:
Take These Steps Now for PRF Reporting
Question: Now that official Department of Health and Human Services (HHS) details are out ... Read more
Reader Questions:
Check These ePHI Requirements
Question: Must electronic protected health information (ePHI) be encrypted to be compliant... Read more
Reader Questions:
Consult These Rules Before Selling Assets
Question: My organization has assets we'd like to sell, but their connected to the CARES A... Read more
COVID-19:
Protect Employee Privacy While Testing
Enact a protective buffer for residents and staff without violating employee privacy. As ... Read more
Evaluation and Management Focus:
Look to Documentation to Prepare for 2021 — and Finish Out 2020
Clean claims should always be a priority. As folks settle into autumn, practices are both... Read more
Staff Management:
Use These Tips to Boost Effectiveness of Communication
Clear communication has never mattered more than right now. If you're a practice manager ... Read more
Reader Questions:
Bill for This COVID-19 Counseling
Question: Our practice is counseling a lot of Medicare beneficiaries about the importance ... Read more
Reader Questions:
Don’t Bank on Telehealth Permanence — Yet
Question: Will the recent telehealth expansion rules expire when the public health emergen... Read more
Reader Questions:
Understand This Attack Term
Question: Our external information technology (IT) person sent an email to our practice wa... Read more
HR Corner:
Consider PTO Policy As Pandemic Continues
Use leave policies to balance staffing needs with morale and compliance. As COVID-19 infe... Read more
Compliance:
Think of Compliance Programs As an Investment
Hint: Write your policies with simplicity in mind so that everyone understands. Two main... Read more
COVID-19:
Continue to Make PPE a Priority
Taking inventory of PPE may be a state or local mandate. Some aspects of infection contro... Read more
Reader Questions:
Use These Tips to Try to Avoid Claims Review
Question: Like many Medicare practices, we've taken advantage of the telehealth expan... Read more
Reader Questions:
Know Respirator Model Alternatives
Question: I know N95 respirators are the best model of respirator to use, but can we safel... Read more
Reader Questions:
Check This Incident-To Rule
Question: If our physician and nonphysician practitioner (NPP) are in contact over the pho... Read more
False Claims Act:
Beware Individual Risk for Litigation
Federal agencies are pursuing coders, billers, and practice managers under the False Claim... Read more
Billing and Reimbursement:
Claim All the Claims
Keep your business afloat by being meticulous during the pandemic. Many practitioners are... Read more
Payer Relations:
Consider These Points for Payer Contracts
Hint: Keep the pandemic and its effects in mind as you negotiate. Payer contract negotiat... Read more
Reader Questions:
Contacting Some Prior COVID-19 Patients May Not Violate HIPAA
Question: My practice has tested a lot of patients for SARS-CoV-2, the virus that ca... Read more
Reader Questions:
Maintain History and Exam Practices
Question: Since history and exam will no longer be key components for determining the leve... Read more
Reader Questions:
Anti-Kickback May Not Apply to This Charitable Act
Question: Hospitals and other healthcare entities in my city are experiencing a shortage o... Read more
Reader Questions:
Hold Others Accountable to Protect Public Health
Question: I am a physician who works in a small, private practice with just two other... Read more
COVID-19:
Maximize Both Safety and Connection With PPE
Do some prep now to facilitate smoother interactions for people who depend on nonverbal cu... Read more
Reopening Amidst PHE:
Use These Tips to Resume In-Person Encounters Safely
You've thought of the big-picture elements, but don't forget these details. As states reo... Read more
Compliance:
Minimize Audit Risks With This Expert Advice
Focus on tightening these areas to reduce risk of audits. During the COVID-19 public heal... Read more
Reader Questions:
Follow No-Show Best Practices
Question: Our office has taken a financial hit since we've drastically reduced our ho... Read more
Reader Questions:
Meet These Standards for Comprehensive History
Question: If I have a chief complaint, an extended history of present illness (HPI), ... Read more
Reader Questions:
Don't Bill for Records Transfer
Question: Our practice discharged a patient due to non-payment, and one week later a new p... Read more
COVID-19 Relief:
See How Federal Help for Providers Really Shakes Out
Some providers may find that the relief isn't quite enough. The second wave of funding f... Read more
PHE and Finance:
Learn the Ins and Outs of Coronavirus Funding
Various funding legislation requires different rules — and things keep getting more comp... Read more
Compliance Quizzer:
Boost Your Understanding of Healthcare Financial Regulations
Hint: Although these laws are grouped together, their implications can be very different. ... Read more
Coronavirus Funding Relief:
Note These PPP Caveats
Read the fine print, experts advise. Many doctors' offices and other healthcare business... Read more
Compliance Quizzer:
Check Your Stark Law and Anti-Kickback Statute Knowledge Here
How does your understanding of these regulations compare to an expert's? 1. True. “Star... Read more
Reader Question:
Beware COVID-19-Related Phishing
Question: Even months into the COVID-19 pandemic, I still feel like it's kind of hard to c... Read more
Reader Question:
Find Clarity in Provider Relief Fund Requirements
Question: How do I know which information the Department of Health and Human Services... Read more
Telehealth Services:
Understand These Special Telehealth Regs for PHE
Pay attention to COVID-19-specific encounter and billing guidance. You may have seen that... Read more
Coding and Billing:
Code Medicare Telehealth Encounters Like This
Hint: The PHE expands access, but the de facto billing requirements don't change too much.... Read more
Virtual Encounters:
Focus on Empathy When Connecting with Patients
Use these tips for showcasing bedside manner through telehealth. Even though using techn... Read more
Virtual Encounters:
Keep This Virtual Services Primer Handy
The categories extend beyond telehealth and telemedicine. Understanding the nuts-and-bo... Read more
Reader Question:
Stay on Top of COVID-19 Code Changes
Question: What is the current guidance on coding a COVID-19 infection? Washington, D.C. S... Read more
Reader Question:
COVID-19 Medicare Changes May Become Permanent
Question: Are all these changes to telehealth and other forms of virtual medicine temporar... Read more
Infection Prevention and Control:
Know How to Screen Patients and Code COVID-19
If the disease hasn't affected your community yet, make your preparations now. U.S. exper... Read more
HIPAA:
Prioritize Patient Privacy, Even During Emergencies
Bone up on which parts of the HIPAA Privacy Rule apply during a public health emergency. ... Read more
Best Practices:
Use These Tips for Managing a Business During an Outbreak
Keep your staff safe and your practice decontaminated. Making decisions about operations ... Read more
Medicare Focus:
Know These 2020 MIPS Nuances
Check out your stats to see if you may be exempt. Even though the Quality Payment Progra... Read more
Reader Question:
Understand Prolonged Exposure, HCP
Question: I work in a specialist's office, not a hospital, but I'm curious: What constitut... Read more
Reader Question:
Understand 'Bilateral' Procedures — but Know Code Guidance
Question: Do I need always need to use modifier 50 when choosing a code to represent a pro... Read more
Reader Question:
Understand This Shift in E/M Documentation
Question: Are there any major takeaways in the new evaluation/ management (E/M) changes re... Read more
Payers and Regulations:
Become More Familiar with These Telehealth Regs
Hint: Location matters more than you may think. The advent of telehealth is bringing heal... Read more
Glossary Boost:
Add These AI Terms to Your Vocabulary
Learn the basics now, as various forms of AI are incorporated into the healthcare industry... Read more
Best Practices:
Understand How Medical Nondisclosure Agreements Function
Hint: They may not offer the protections organizations count upon. Nondisclosure agreemen... Read more
Answer Key:
Check How you Matched Each Term to its Definition
Then keep this ready-made glossary handy if you think you may need to refer back. 1, G: U... Read more
Reader Question:
See This Difference Between Coding Systems
Question: I am new to practice management and am confused by the acronyms and modifiers us... Read more
Reader Question:
See Through this Common Preventive Service Myth
Question: My office saw a patient for a regular preventive visit but discovered an issue i... Read more
Reader Question:
Double-Check Status of MBI
Question: I've had a few claims rejected for Medicare patients, even though I know I have ... Read more
Reader Question:
Use These Safeguards for Patient Records
Question: A new front-desk staff member insists that our office is violating the Health In... Read more
Compliance Quizzer:
Refine Your Breach Reporting Knowledge
Hint: The categories of breach are pretty all-encompassing. You and your colleagues may b... Read more
Staffing Decisions:
Adjust Your Policies and Protocols for Remote Coders
Cross these t's and dot these i's before hiring a remote coder. Having a coder whose work... Read more
Compliance Quizzer:
Check Your Answers Here
Tip: Bolster your protocols for additional peace of mind. Answer 1: False. Not every... Read more
Reader Question:
Write a Form to Keep Credit Cards on File
Question: We recently had a consultant come in to evaluate our accounts receivables and co... Read more
Reader Question:
Encrypt Your Devices
Question: I've been reading a lot about encryption and hearing about it in the news. Do we... Read more
Reader Question:
Don't Use This Code for No-Shows
Question: My office has had an uptick in no-show patients. One of my coders says that he c... Read more
Reader Question:
Note These Levels of Appeals
Question: I submitted a claim to my region's Medicare Administrative Contractor (MAC) for ... Read more
Medicare Basics:
Dive Deep into Medicare Mythology
Boost your Medicare fluency by understanding its various components. If your practice acc... Read more
Know Who Can Bill Medicare
Hint: Credentials matter. Check out these true or false questions to test your knowledge ... Read more
HR Corner:
Get Your New Hire Paperwork in Order
Write your offer letter to include these crucial components. Even if your practice avoids... Read more
Industry Note:
Patients' Desire for Antibiotics Driving Prescriptions
If your practice is overprescribing antibiotics, it's not alone. If any physician at your... Read more
Reader Question:
Seek New Code for Care That Falls Under This Umbrella
Question: There are multiple clinicians in my practice. Can the clinician who's overseeing... Read more
Reader Question:
Make the Case That Palliative Care Is Medically Necessary
Question: I keep getting palliative care claims rejected because the payer says the care d... Read more
Reader Question:
Count Family Medical History as PHI
Question: Does a patient's family medical history fall under information protected by the ... Read more
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