Your Uninsured Patient Population Is Expanding
September 17, 2020
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Job loss and other factors are driving an insurance coverage gap that may affect your practice. How can you prepare for the coming storm?
Blog
Category: Healthcare Insurance Compliance
Articles on responding to payors and regulators. Topics cover insurance, Medicare, and Medicaid audit response, clawback defense, reporting obligations, and licensing board and professional discipline matters, written for practice owners facing an audit, an overpayment demand, or a board inquiry.
Demystifying the Medicare ABN
August 7, 2020
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Have you been issuing ABNs, but are unsure whether it’s appropriate? Are you uncertain if ABNs are relevant to you as a provider not enrolled in Medicare? Keep reading to learn when to use ABNs.
Understanding Insurance Audits
August 29, 2019
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What’s at stake during an insurance audit? What steps should your practice take if you’re audited? We answer all of your most pressing questions.
Payment Models in Post-Acute Healthcare Settings: A Primer
July 9, 2018
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For several years now, CMS has been trying to move providers into value-based payment models. But they’ve recently recognized that
How to Manage Medicaid Patient No-Shows
May 4, 2017
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Because Medicaid patients typically have lower incomes (as compared to privately-insured patients), they face more hurdles to obtaining care. Transportation costs to get to-and-from medical appointments, unpaid time off of work, and childcare can be cost-prohibitive and make it impossible to make their appointment.
How to Determine Whether Your Practice Should Accept Medicare: An Interview with an Active “Old Geezer”
August 26, 2016
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My success in reaching 79 years of age might be attributed to moderation in the usual “abuses”–alcohol, drugs, tobacco, stress, excessive food and lots of exercise every day. Had I subscribed to this regimen when I was in my 30’s and 40’s, it would have been even more prudent — maybe leading me to tip over the century mark. But who really wants to do that?