Best Practices for Hiring and Making Use of Nurse Practitioners, Physician Assistants
The number of nurse practitioners (NPs) in the United States has doubled in the last decade, from 106,000 in 2004…
Read more
A Solid Compliance Program Avoids Whistleblowing
Medicare and Medicaid billing fraud scams—upcoding and unbundling schemes, double and triple billing, phantom billing and illegal kickback schemes —cost…
Waiving Copays and Deductibles Waves a Red Flag
As co-pays and deductibles in Medicare and commercial health plans become more prevalent, so, too, does the temptation to waive…
Avoiding Risk Using New X Modifiers for Medicare Reimbursement
On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers,…
Feature Coverage: Taking a Macro View of MACRA
On April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) became law. Among its provisions, the…
CMS releases revised Medicare Physician Fee Schedule
Slightly ahead of schedule CMS released to the MACs and their website the revised Medicare Physician Fee Schedule. We know…