Avoiding a Medicare Part D Penalty

Posted On: 26th Mar, 2015 | Under: Compliance, Medicare | Tagged:
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To appreciate the Medicare Part D Penalty and help patients avoid it, one must first understand what Medicare Part D involves. Here are the points to keep in mind for your medical office, and it’s patients: Medicare Part D consists of a drug coverage plan that has a list of specific covered drugs, called a…


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….


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,…


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…