Compliance

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    MACRA obviously has increased the need for CDI in outpatient and clinical settings. MIPS success requires it. Clinical documentation in your HCC coding, including RAF scores, will impact your payment under MACRA. CDI Fast Facts MACRA has increased the need to consider CDI in outpatient or   Read more..
    Posted on 23 Nov, 2017
    Clinical Documentation Improvement for Optimal Risk Adjustment
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    Facebook is now an inescapable part of modern life. The popular social networking site boasts 1.86 billion monthly active users as of the end of 2016, and those users come to keep up with their friends, share news and videos, and interact with businesses. Your   Read more..
    Posted on 20 Nov, 2017
    Medical Practice Marketing: Creating & Maintaining an Effective Facebook Page
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    More than two decades ago, a few legislators with good intentions wanted to prevent conflicts of interest in medical decision making that involved Medicare and Medicaid beneficiaries. Starting with clinical labs, Congress began to pass laws prohibiting physicians from referring patients to designated health services   Read more..
    Posted on 30 Oct, 2017
    Are you familiar with the Physician Self-Referral Law—a.k.a, The Stark Law?
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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
    7 Elements of an Effective Compliance Program
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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
    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
    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
    Spot & Correct These 7 Deadly Employee Behaviors
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    The demand for physicians available for hospital call coverage is rising, but such arrangements must be structured carefully to avoid running afoul of the Stark Law and AKS. Since every arrangement is different and unique to the circumstances of specialty, geography, demand, and other various concerns,   Read more..
    Posted on 11 Sep, 2017
    Compliant On-Call Coverage Arrangements
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    Documentation helps to inform and support providers by supplying information to highlight trends, providing insight into disease processes, and uniting physician teams and payers through the flow of data. Clinical records provide uniformity and continuity across visits, hospitals, physicians, and payer providers. Bottom Line: Documentation is the   Read more..
    Posted on 8 Sep, 2017
    Clinical Documentation: Why is it so Important?
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    KNOW THE BASICS
    You append modifier 22 (Increased procedural services) to a CPT® code to indicate that a surgical procedure requires physician work substantially greater than that usually required to perform the service. There is unfortunately no one standard definition of what “substantially greater” effort means. You should   Read more..
    Posted on 15 Aug, 2017
    Don’t Labor Over Modifier 22 – Increased Procedural Services

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