Billing Compliance

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

Physicians Practice® spoke with Krisi Hutson, the product line director at Availity, to discuss some of the ways in which she has been seeing providers help their patients to avoid surprise billing scenarios.

A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.

HHS-OIG items of interest for providers.

The National Health Care Anti-Fraud Association estimated that healthcare fraud costs the nation $68 billion annually.

Providers will benefit most from well-tailored RPM programs designed within the current requirements that also have the means to be flexible as requirements inevitably shift.

What the new HL7 interoperability standards means for providers.

DHS profit distribution compliance may require modification of physician contracts, compensation policies, and other documentation within the practice

Few employers readily assume responsibility in initial contracts — make sure you read the fine print and negotiate.

To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.

Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year

The differences between the two are important to note in your consideration of your collection strategy

How new technology is curing ailments and streamlining processes in one practice’s AP department.

As the year ends, this latest HIPAA settlements serve as a reminder of what should be included in 2020’s resolutions.

Just like your patient's vitals provide you with metrics for treatment plans, financial reports provide you with metrics on the "health" of your practice.

Accepting payment via credit card is one way to improve patient collections. But medical practices must take precautions to ensure that their patients’ personal information remains protected.

Yes, you need to delegate some tasks to employees. But as practice owners and administrators, it’s your responsibility to oversee and double check-not blindly sign your name for a whole lot of trouble.

A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.

Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits. 

A look at recent lawsuits the U.S. Department of Justice has pursued for illegal upcoding, downcoding, and excessive coding claims.

Coding expert Bill Dacey explores coding for ongoing wound care and unexpected, extended care for a diabetic patient.

From creating new services to making better use of tech, if you’re among the planners hoping to make 2018 your practice’s best year ever, here are seven strategies that can help.

Home health agencies and home visiting companies are employers that physicians should approach with great caution.

What do practices need to know about coding for advance care planning? Here is some guidance from the AAPC's John Verhovshek.

Recent legal cases show why physicians need to remain buttoned-up tight when it comes to the legal side of practicing medicine.

Miracle drugs may not exist in the truest sense of the term, but any drug that comes with an easy co-pay is a miracle drug in this doctors eyes.

When do you use modifier 25 or 57? Coding expert John Verhovshek explains the difference when coding an E&M service.

Your team of physicians, administrators and lawyers can help you get what you rightfully owe using data-driven tools.

Coding expert Bill Dacey has some of the most recent updates to the coding manual. What do you have to know for 2018?