Author

Elizabeth
Elizabeth works on an array of projects at TCI, researching and writing about modern reimbursement challenges. Since joining TCI in 2017, she has also covered the nuts and bolts of cybersecurity, compliance with federal laws, and how to tap into the advantages of telehealth services.

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    The HHS OIG released compliance guidelines for most healthcare sectors between 1998 and 2008. During this period, the watchdog agency developed “The Seven Elements of an Effective Compliance Program.” Now, almost 20 years later, these elements remain effective for evaluating the state of your practice’s   Read more..
    Posted on 23 Oct, 2017
    By Elizabeth
    7 Elements of an Effective Compliance Program
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    Every November, in a long, wordy Federal Register post, CMS releases Outpatient Prospective Payment System (OPPS) updates, which describe reimbursement policies for hospital outpatient and ASC settings for the following year. On a quarterly basis, CMS revises and releases ASC Addenda, which get down into   Read more..
    Posted on 19 Oct, 2017
    By Elizabeth
    Medicare Reimbursement Basics for ASCs
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    What are Your Hedgehog Concepts? Good to Great, written by Jim Collins in 2001, is the product of five years of detailed scientific research. Collins and his team wanted to answer one question: How do good companies become great companies? To answer that question, they   Read more..
    Posted on 13 Oct, 2017
    By Elizabeth
    Take Your Practice from Good to Great
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    MACRA, as you’re probably aware, is essentially a Quality Payment Program (QPP)—one that has streamlined the numerous quality improvement programs most coders have been involved with over the years. Among its objectives, MACRA is designed to reward healthcare providers for giving better quality of care   Read more..
    Posted on 12 Oct, 2017
    By Elizabeth
    MACRA 101
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    Practices of all sizes need to pay attention to compliance. Don’t fall prey to the myth that only larger practices are on the regulators’ ‘radar.’ “To tell you the truth, most of the practices I’ve been working with and I’ve been helping are small   Read more..
    Posted on 5 Oct, 2017
    By Elizabeth
    Nail Down 6 Compliance Must-Knows
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    October 2-6 is Customer Service Week—perhaps the best time to ask yourself how your practice is perceived. Would your patients describe you as respectful, sincere, concerned, compassionate? Do they consider your staff helpful, informative, and attentive? If not, you practice is heading for trouble. You and your   Read more..
    Posted on 27 Sep, 2017
    By Elizabeth
    Master Excellence in Patient Relations
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    No matter how carefully you hire, you’ll probably end up with some difficult personalities in your practice. During her presentation at AAO2015, Andrea V. Gray, MD pointed out The Seven Deadly Employee Behaviors, along with ways to make them work for you: The Downer: This is   Read more..
    Posted on 25 Sep, 2017
    By Elizabeth
    Spot & Correct These 7 Deadly Employee Behaviors
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    If your EHR, practice management software, and cloud vendors aren’t vigilant about data security, you could find yourself drowning in a sea of HIPAA security woes. Protect yourself. Ask your vendors the following questions, adapted from the National Cybersecurity Center of Excellence. Vendor Agreements Are you   Read more..
    Posted on 22 Sep, 2017
    By Elizabeth
    25 Questions to Ask Your EHR, PM, and Cloud Vendor
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    The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) created new ways for the Medicare program at CMS to pay physicians for the care they provide to Medicare beneficiaries. MACRA also creates incentives for physicians to participate in Alternative Payment Models (APMs), including the   Read more..
    Posted on 18 Sep, 2017
    By Elizabeth
    MACRA & the Role of Physician-Focused Payment Model Technical Advisory Committee (PTAC)
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    Payers get the upper hand because they are huge companies that can funnel resources into figuring out how not to reimburse you. Their most recent shell game is prior authorization. “When I started out [prior authorization] never came up,” says Kevin de Regnier, an osteopath who   Read more..
    Posted on 15 Sep, 2017
    By Elizabeth
    3 Ways to Outsmart Prior Authorization Ploys