Understanding the Anti-Kickback Statute

Enacted in 1972, the Anti-Kickback Statute protects both patients and federal healthcare programs from abuse, including fraud. The statute was a part of the Social Security Amendments of 1972, which were followed closely by the 1977 Medicare and Medicaid Anti-Fraud and Abuse Amendments. Fraud was no longer considered a misdemeanor but rather a felony with…


The Effects of Value-Based Reimbursement on Medical Billing Services

Billing Advantage, Inc. is a full-service medical billing company, providing billing services to over 200 providers in 22 states.  We are interested in how changes in health care systems will affect both our customers and billing companies like our own.  It is clear that the shift towards Value-Based Reimbursement will have a very major effect…


Top 5 Risks of ICD-10 Conversion

ICD-10 conversion seems daunting in sheer numbers. With over 50,000 diagnosis codes, the possibility for error looms larger than ever. And that could mean substantial fines come the October 2015 deadline. The good news is that the general risk is smaller for smaller medical practices. After all, a smaller practice often gives more specific care…


How The False Claims Act Affects Your Clinic

A review of the False Claims Act is beneficial even to those who have been in the healthcare industry for decades, along with those who are new to the system. The FCA was originally enacted in 1863 to address military fraud against the Union Army. And while the False Claims Act reaches beyond those in…


Health Insurance Benefits Will Now Be More Easily Compared

On December 22, 2014 the Departments of Health and Human Services, Labor, and the Treasury announced a proposal of a new rule that would streamline the health insurance benefits offered on health exchanges and through employers. This rule would require a standardized summary outlining which health insurance benefits are covered by a particular plan and…


Email Management for Medical Offices

Medical offices run on great staff, management, and organization. To keep day-to-day tasks functioning smoothly and patients care for and happy, a practice needs to have organization in every facet – from patient scheduling to filing, phone calls, and email management. Medical office email management is not far removed from personal email management. You need…


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