If you get hit with erroneous overpayment demands when your local recovery audit contractor (RAC) opens for business later this summer, CMS has some advice for you: appeal.

This chart shows the patients-per-provider ratio in the Medicare program, comparing the number of enrollees per provider, by specialty, in 2007 and 2008.

Regardless of whether the health reform bill results in a public insurance option, the dated and much-maligned Sustainable Growth Rate (SGR) formula that currently dictates your Medicare payments is likely to be replaced, so long as some sort of reform package passes, experts say.

You'll need to identify as many patients eligible for a covered osteoporosis screening as you can - if you want to get the most out of your dual-energy X-ray absorptiometry (DEXA) machine. Reimbursement rates for DEXA have fallen sharply in recent years, with a 40% cut in 2007 (PBN 5/28/07) and the future is set to get worse.

High hopes for a bipartisan health reform bill by summer's end that would mean huge changes for how you bill and get paid for Medicare and other services (PBN 6/8/09) are shrinking rapidly thanks to intense debate on whether the package should include government-backed insurance, Part B News has learned.

You probably don't have a written contract defining your role at the practice. Most administrators and support staff at medical practices don't. But you should do as much as possible to make sure your incentives are outlined in writing, experts tell Part B News.

July 1 signals the beginning of the third quarter, and the latest round of quarterly Medicare policy changes. There are relatively few changes for the quarter; here are five you need to know about.

Adopt health information technology (HIT) such as electronic medical records (EMRs) to ensure your practice runs as smoothly and efficiently as possible as a patient-centered medical home.

As the countdown to the permanent recovery audit contractor (RAC) program continues, you need to be on the lookout for "full denial" situations - cases where you'll be forced to return every dollar paid, even when the services performed were legitimate.