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364 articles
Medical staff incidental benefits and nonmonetary compensation
From Reed Tinsley, 3 month ago, Read 0 times. Similar articles
Are the Stark law compensation exceptions for medical staff incidental benefits and nonmonetary compensation interrelated, or are they mutually exclusive' Said another way, does a DHS entity need to add up the value of medical staff benefits provided to a physician that are protected under the Stark law medical staff incidental benefits compensation section and aggregate this with benefits provided to that same physician that meet the nonmonetary compensation exception, to ensure that the...
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How to Attest for Meaningful Use - 3 Tips
From Reed Tinsley, 3 month ago, Read 0 times. Similar articles
Dr. Kevin Spencer, a physician that recently attested to meaningful use, provides three tips to make successfully attesting easier for other practices. According to Dr. Spencer, the key components to successfully attesting were:
Choosing the right EHR software company;
Undergoing meaningful use training; and,
Changing documentation processes to fit meaningful use guidelines.
Head here for the complete...
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2012 OIG Work Plan - Looking at physicians
From Reed Tinsley, 3 month ago, Read 0 times. Similar articles
Physicians: Incident-To Services. OIG will review physician billing for incident-to services to determine whether payment for such services had a higher error rate than non-incident-to services. Assess CMS's ability to monitor incident-to services.
Evaluation and Management Services: Use of Modifiers During the Global Surgery Period. OIG will review the appropriateness of the use of certain modifier codes during the global surgery period and whether Medicare payments for claims with such...
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Does opting out of Medicare follow the physician'
From Reed Tinsley, 3 month ago, Read 0 times. Similar articles
The opting out of Medicare by a physician applies to all items or services the physician or practitioner furnishes to Medicare beneficiaries regardless of the location where such items or services are furnished. When a physician/practitioner opts out and is a member of a group practice or otherwise reassigns his rights to Medicare payment to an organization, the organization may no longer bill Medicare or be paid by Medicare for services that the physician or practitioner furnishes to Medicare...
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Messenger Model IPAs Must Always Keep Antitrust in Mind
From Reed Tinsley, 3 month ago, Read 0 times. Similar articles
As managed care reimbursement continues to decline, physicians are looking at any way possible to level the playing field. This includes merging medical practices, selling the physician practice to a hospital, and forming independent practice associations (IPAs). There are still ?messenger model' IPAs out there trying to negotiate with managed care payers on behalf of its physician membership. However, will these negotiations run afoul of antitrust laws' Unfortunately many do, they just haven't...
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Are you being reimbursed correctly'
From Reed Tinsley, 4 month ago, Read 0 times. Similar articles
How does a practice or any health care provider really know for sure it is receiving the correct reimbursement from its managed care payors' According to an informal polling of practitioners at a recent health care conference, over 50% of the participants indicated errors have been found with regard to what the medical practice was contracted to receive as payment and what the managed care company actually paid for the service. For example, the practice was contracted to receive $44 for visit...
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Regulary evaluate your new doctor associate
From Reed Tinsley, 4 month ago, Read 0 times. Similar articles
Any expectations you have for a new Associate only works if you follow through with frequent valuations. However, I am often struck by how little attention senior doctors give to basic personnel management of newly employed physicians.
Groups commonly schedule regular evaluation sessions for newly hired lay employees, yet overlook them at the physician level. You've invested too much in your new hire ? especially if you're promising future partnership ? to adopt a sink or swim...
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Reporting employer health care coverage on Form W-2
From Reed Tinsley, 4 month ago, Read 0 times. Similar articles
From the Internal Revenue Service:
An Oct. 31 webinar will explain the Affordable Care Act provision that requires some employers to report health care coverage on Form W-2.
Related links:
IR-2011-31, IRS Issues Interim Guidance on Informational Reporting of Employer-Sponsored Health Coverage
Employer-Provided Health Coverage Informational Reporting Requirements: Frequently Asked Questions
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HHS launches new Affordable Care Act initiative to strengthen primary care
From Reed Tinsley, 4 month ago, Read 0 times. Similar articles
The U.S. Department of Health and Human Services (HHS) yesterday launched a new initiative made possible by the Affordable Care Act to help primary care practices deliver higher quality, more coordinated and patient-centered care. Under the new initiative, Medicare will work with commercial and state health insurance plans to offer additional support to primary care doctors who better coordinate care for their patients. This collaboration, known as the Comprehensive Primary Care initiative, is...
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Physicians running behind schedule
From Reed Tinsley, 4 month ago, Read 0 times. Similar articles
There is absolutely no substitute for the human touch of when a receptionist personally tells patients that a physician is running behind schedule. Offering an apology to acknowledge the value of the patient's time and periodically updating patients goes a long way to de-fusing patient irritation. With long delays, it's better to offer re-scheduling than to have a patient leave, never to return. However make sure the schedulers discuss arrival times with patients.
Having...
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