Your chances of getting audited for your non-physician practitioner (NPP) claims continues to climb – especially your incident-to claims. CMS is just waiting for you to slip up. I found these NPP/incident-to related cases on the Office of the Attorney General (OIG) website. I was floored by the size of the penalties. Pretty eye-opening stuff…• […]
Read MoreYou have to be ready for ANYTHING. That’s what makes coding for urgent care so tricky. At any moment, you can be coding claims for any number of specialty services, which makes capturing every allowable dollar more difficult than ever. The bottom line is that urgent care coding is complicated, and there’s a lot riding […]
Read MoreCMS requires Medicare providers and suppliers to revalidate their enrollment every 3 or 5 years. Failure to revalidate on a timely basis can result in a deactivation of your Medicare enrollment records. This means, until the revalidation is submitted and approved, you may not be eligible to receive reimbursement from Medicare. The good news is […]
Read MoreMedicare wants their money back. At least that’s what their “60-day rule” regulations say, and the increase in lawsuits they are filing against practices just like yours to get it. Lack of compliance with these regulations can lead to you being fined up to $11,000 for each improper payment you received and didn’t return (going […]
Read MoreIn order to determine if outsourcing makes sense a cost analysis should be done. Here are some things to consider when performing a cost analysis: 1. Billing Department/Staff costs – This would include the salaries of the employees working in the billing department. If there are employees with multiple functions (billing and front desk, etc) […]
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