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Medical Billing Blog

Medical office empoyee who has passed all employee screenings.

Patient and Employee Screening in Your Medical Office to Avoid CMPs

The OIG (Office of the Inspector General) is cracking down more than ever in 2015 on Medicare fraud and abuse, which means that it’s a crucial time to review your medical office’s patient and employee screening practices. Recent statutes have expanded the authority of the OIG to exclude individuals from all federal health care programs….

Text embedded over a medical scene "HIPPA Violation"

5 Steps To Avoid HIPAA Violations in 2015

Avoiding hefty HIPAA violations is a tough but crucial need for health care facilities, and it’s getting tougher each year with more audits and higher expectations. Enacted in 1996, HIPAA (Health Insurance Portability and Accountability Act) was designed to protect health insurance coverage for workers and their families, particularly when they lose or change jobs….

Medicare fraud being prevented,

CMS Announces Medicare Fraud Crackdown

Last month, the Centers for Medicare and Medicaid Services announced that they will be introducing changes to increase security in an effort to reduce cases of Medicare fraud. Prompted in part by the Affordable Care Act, these program updates are centered on making the rules across providers more consistent for providers across the board. Additionally,…

Health insurance benefits outlined.

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…

Medical office staff using PQRS 2015

PQRS 2015 – Changes to Consider

PQRS, or the Physician Quality Reporting System, is a program implemented for reporting purposes under Medicare Part B. This voluntary program provides incentives to practices who employ eligible professionals (EPs), as identified by an NPI (National Provider Identifier) and TIN (Tax Identification Number). By reporting data on services to Medicare Part B Fee-for-Service beneficiaries, EPs…

Physician working on email marketing materials in an office.

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…