Category Archives: Practice Management
Trump Administration Announces $20 Billion in New Phase 3 Provider Relief Funding
On October 5, 2020, the Department of Health & Human Services announced that healthcare providers will be able to apply for a Phase 3 General Distribution allocation from the Provider Relief Fund. This allocation is available to providers who were … Read Full Post
What We’re Reading – Montefiore Employee Terminated after Data Breach Affected up to 4,000 Patient Records
An article in Healthcare Finance News recounted a recently uncovered employee’s theft of patient information at a New York hospital over a period of two years. The breach of patient addresses, dates of birth and social security numbers was detected … Read Full Post
What We’re Reading – 5 Providers Settle After Withholding EHR Access, Violating HIPAA
The HIPAA Right of Access Initiative allows patients the right to timely access to their health records at a reasonable cost and in the manner in which they request it [emphasis intentional], or they may file a complaint with the … Read Full Post
What We’re Reading – Five Self-care Tips for Physicians in the COVID Era
Physicians have always had stress in their lives but when COVID surfaced, it just seemed to mount higher. We all probably thought at the beginning that this would only affect our lives for a short period of time and then … Read Full Post
Compliance Tool-kit Should Include External Validation
Although all providers should have a Compliance Program, it seems that mostly larger groups have them in place and even then, to varying degrees. Many practices have some form of internal validation of a coder’s work; most of the time, … Read Full Post
COVID-19 & the New School Year
As the new school year commences, employers have already seen an increase in requests for time off under the Families First Coronavirus Response Act (FFCRA). For some, the allowed 12 weeks of emergency family leave was already used at the … Read Full Post
How does Transitional Care Management (TCM) Work?
Transitional Care Management (TCM) encompasses the 30 days of a Medicare beneficiary’s post-discharge period from an inpatient acute care or psychiatric hospital, long-term care hospital, skilled nursing facility or inpatient rehabilitation facility. It focuses on helping the patient make a … Read Full Post
What We’re Reading – Three ways healthcare facilities are rebounding from COVID-19
The pandemic has been stressful for every industry but healthcare has been hard hit for a few reasons: providers still need to treat patients, but some of those patients may be scared to go to the doctor’s office or visit … Read Full Post
CMS Makes Changes to Telehealth Billing
This is a follow-up to an earlier blog about the Centers for Medicare and Medicaid Services’ (CMS) expanded provisions for coverage of telehealth (TH) visits for Medicare beneficiaries. CMS recently added additional billing codes to its approved list, and clarified … Read Full Post
The DOJ Targets MA Plans
The Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) reported that a study conducted in 2019 revealed, “Unsupported risk adjusted payments are a major driver of improper payments in the Medicare Advantage (MA) … Read Full Post