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Is sequester cut allowed on Medicare Advantage payments? Check your contract

05/24/2013

Some Medicare Advantage payers are passing along the 2% sequester cut to providers. Experts say that, in some cases, they shouldn’t — but it will be difficult to challenge the pass-through, especially if you haven’t been careful about the language in your contracts.

Weigh ‘softer approach’ options before turning patient debt over to collections

05/24/2013

by: Roy Edroso

If patient debt is a persistent problem for your practice, it may be time to turn to an outside collection agency. But make sure you’re ready for the implications and risks of such a move — and that you don’t wind up trading away your good name for the money.

Don’t let physician’s licensure history sidetrack enrollment

05/24/2013

by: Scott Kraft

Has your practice’s newly enrolled provider previously been licensed to practice in another state? Is she still? If so, you must quickly take steps to voluntarily terminate that license when the provider has no plans to practice or renew the license there or you could face a potential problem later, warns consultant Leslie Witkin of Physicians First in Orlando, Fla.

Train, assess, document to tighten office security and protect staff, patients

05/24/2013

by: Roy Edroso

Recent events – such as the April 16 shooting of a 6-year-old girl in a chiropractor’s office in Mission, Kan. – are reminders that office security is a pressing issue for physician practices. Now is the time to review your security policies and practices.

5 tips for choosing the right collections agency

05/24/2013

by: Roy Edroso

If you decide to consider collection, make sure the agency you pick gives you the best results for the money — and doesn’t alienate your patients or worse.

CMS: Diabetics now eligible for hepatitis B vaccines

05/24/2013

by: Lauren C. Williams

Expect a revenue boost from vaccines now that CMS has listed diabetic patients as high risk for Hepatitis B contraction.

Benchmark: Top-billed drug codes’ utilization splits with extreme highs, lows, 2007–2011

05/24/2013

by: Lauren C. Williams

Cross-referencing the top 50 billed codes in both 2007 and 2011, the depicted codes saw polarizing utilization rates over the past five years.

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