Healthcare News

The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies According to a recent Statement of Administration Policy submitted to the Rules Committee of the House of Representatives, the Biden Administration has announced plans to terminate the COVID-19 ...

Never forget that each medical practice is subject to medical record audits. Hearing that word practices, start to worry and panic, dwelling on the painstaking, laborious process ahead of them. However, the audit does not need to be difficult or time-consuming. If you are doing your due diligence in...

Get $26,000 per Employee with Federal ERC CreditsLike the PPP/EIDL, there is no repayment as it is a tax credit of up to 26,000 per W-2 worker you employed in 2019/2020.It is no secret that the Coronavirus has negatively impacted many businesses across the US. That is why several payroll tax credits...

Cuts in Physician Payments Will Reduce Access to Care The MGMA’s data shows that 90% of medical facilities reported likely declines in access to care following the 2023 payment cuts in the Medicare physician fee schedule.After the significant changes to E/M services, we have to expect phy...

Lockbit ransomware campaign, the variant that has been known to target healthcare in the past, is back on the radar. Thus, the Department of Justice reported that on November 15, 2022, the alleged charge of involvement in the global LockBit ransomware campaign was brought against Mikhail Vasiliev, a...

If prosecutors find that providers disregarded PIR (protected information rules) in a way that warrants more punishment than fines and penalties - the doctor faces up to a year in prison on charges of violating the HIPPA rules. It does not happen very often, but you should concern about getting into...

Treating patients in the NYS workers’ compensation system thanks to the recent increases to medical fee schedules and adoption of the CMS-1500 universal medical billing form, more in line with conventional health care now. Nevertheless, some differences remain in the treatment of such patients...

Medical Documentation: What You Need To Know About Recordkeeping, Amendments, and Delayed EntriesAll services are expected to be documented in the medical record at the time they are rendered. If certain entries related to provided services are not properly documented, those entries will need to be ...

OIG Special Fraud Alert: Arrangements with Telemedicine CompaniesThe Office of Inspector General has discovered a massive fraud scheme involving healthcare practitioners and telemedicine companies. According to a recent report, virtual health providers have been encouraging practitioners to issue or...

None of the initial claim denials are irreversible. If your claim gets denied or underpaid, there is always an option to overturn the original decision. Healthcare providers who believe that the payment for their services has been denied incorrectly may initiate a reconsideration process with the pa...

Sometimes there is a need to launch enrollment processes with HMO plans while your Medicaid fee-for-service application is still pending. Unfortunately, our experience shows that delays in application processing for Medicaid enrollment are quite frequent regardless of a provider’s state. To se...

Nurse practitioners (NP) are one of the most important for both private medical practices and large hospitals. As a health service provider, you should make sure that you properly select and hire your next nurse practitioner. It would be helpful to plan and define the following before you even begin...

Healthcare providers who perform & bill laboratory tests on Medicare patients are subject to new CLIA-related regulations in 2022. Please keep reading to discover if this update affects your practice.The CMS now includes several new procedure codes into its list of CLIA-waived laboratory tests.&...

Prior authorization is an eligibility verification process, which requires health care providers to obtain approval from a health insurance provider before a specific service is delivered to the patient. Providers need to improve their prior authorization strategies to reduce cases of claims denials...

Healthcare provider has never been an easy profession. Nationwide, hundreds of thousands of medical specialists risk their lives to treat patients in these extraordinary times. Many of you value your patients’ health & satisfaction over everything else. Dear doctors, you are our genuine su...