Lung cancer is the leading cause of cancer deaths in the United States and third in overall cancer incidence according to 2013 National Cancer Institute statistics. Fortunately, newly approved preventive…
Are You Familiar With the New CMS Payment Model?
The new CMS payment model ties reimbursement to value instead of volume. The focus is on developing a payment method based on quality and improvement of the delivery of care.…
CMS Just Announced New Provider Enrollment Provisions
As of December 3, 2014, new safeguards have been added to the CMS provider enrollment policies. CMS continues to focus on prevention of Medicare fraud, waste and abuse as part…
Are You Billing for Home Care Visits?
Physician home visits are under scrutiny by CMS for any possible fraud. In 2012, Medicare paid home care service providers about $236 million. As the population of Medicare age recipients…
Have You Reviewed the OIG 2015 Workplan?
The 2015 Workplan of the Office of the Inspector General highlights important areas for providers including medical necessity of services billed, payment review, exclusions, and incentive payments. Determination of the…
What Should You Do After Discovering a Billing Error?
Just correct the problem and you will be compliant? No, but this is the first step in the right direction. According to the HHS in “A Roadmap for New Physicians…
Top 10 Reasons to Have a Compliance Program
10 I want to know about a violation of law in my practice before the government and the world know about it. In a world with information readily available at…
Compliance Check Up for Physicians
Summary and comments on recent article from www.physicianspractice.com. With the Affordable Care Act you are now required to implement a formal compliance program. If you want to participate in Medicare/Medicaid,…