Category Archives: Practice Management
MACs Resume Medical Review on a Post-Payment Basis
To protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs) are resuming fee-for-service medical review activities. Beginning August 17, the MACs are resuming with post-payment reviews of items/services provided before March 1, 2020. The Targeted Probe and … Read Full Post
CMS Approves COVID-19 Counseling
When patients are tested for COVID and are awaiting results – or if they’ve tested positive – research shows virus transmission is reduced by 86% if these patients self-isolate early. For this reason, CMS recently clarified that counseling, which includes … Read Full Post
What We’re Reading- How effective and important are one-on-one discussions with direct reports
What can you accomplish by conducting one-on-one meetings and making them a standard practice in your organization? This article delves into the positive impact these interactions can have on helping your team to thrive. Utilizing this practice becomes a great … Read Full Post
What We’re Reading – What COVID means for voluntary benefits might surprise you
In an earlier blog, we explained that, despite the economic uncertainty, a large number of employers are expanding employee benefits. As discussed in this article, they are also tweaking voluntary benefit offerings in response to a change in demand. It’s … Read Full Post
What We’re Reading – Primary Care Remains Weakened in Fight Against COVID-19
All industries are being affected by COVID-19, from print companies and retail to hospitality and healthcare. We came across this article that shows that primary care, four months into this pandemic, continues to weaken based on a physician survey with … Read Full Post
Succession Plans: Essential for the Small Business
Companies that involve their human resources department in their strategic plans will usually have a succession plan/strategy in place. This ensures that the business continues to function as seamlessly as possible in the event of a planned or unplanned departure … Read Full Post
You Might Be Owed Money for Telehealth Visits
Depending on when you accessed CMS’s telehealth billing guidelines, you may have submitted claims using a Place of Service (POS) of “02” regardless of where you rendered the service instead of POS 11 if in the office. CMS recently announced … Read Full Post
What We’re Reading – Here’s how employers are changing benefits due to COVID-19
Although some companies have been hard hit by the economic effects of the COVID-19 crisis, experiencing closures or scaling back benefits, such as reducing or suspending 401(k) contributions, others are in wait-and-see mode or adding benefits for their employees. This … Read Full Post
What We’re Reading – DOJ Launches Lawsuit Against Anthem for Risk Adjustment Fraud
As detailed in this article, Anthem is facing a lawsuit initiated by the Department of Justice (DOJ) for allegedly failing to remove erroneously submitted diagnoses from CMS’s database despite knowing that inconsistencies might be present. The health insurance carrier commissioned … Read Full Post
What We’re Reading – Amazon Partners on Employee Primary Care Centers Near Fulfillment Centers
Amazon announced a pilot program to provide accessible primary care services to its employees by opening 20 Neighborhood Health Centers in cities across the US. In this article, the author explains that Amazon’s employee benefits program provides comprehensive health care … Read Full Post