• [addtoany]
    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?
  • [addtoany]
    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
  • [addtoany]
    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
  • [addtoany]
    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
  • [addtoany]
    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
  • [addtoany]
    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
  • [addtoany]
    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?
  • [addtoany]
    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
  • [addtoany]
    “During my year in business school, I learned two different methods for improving modes of production, Kaizen and Lean Six Sigma,” says Sam Goldberger, MD, MBA in his book A Method That Works: How to Take Your Ophthalmology Practice to the Next Level and Have   Read more..
    Posted on 27 Jul, 2017
    Kaizen & Lean Six Sigma for Your Medical Practice: Because Everything Can Be Improved and Should Be
  • [addtoany]
    MACRA stress is high, and MACRA readiness is low, according to a recent AMA/ KPMG survey that reports less than one of four physicians define themselves as "well prepared" to meet the Medicare Access and CHIP Reauthorization Act of 2015’s requirements for this year. 1,000 physicians   Read more..
    Posted on 19 Jul, 2017
    MACRA Preparedness: And the Survey Says…

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