CERT Audits: Must-Know Insights and Protective Measures
June 26, 2023
Learn the ins and outs of CMS's routine CERT audits to minimize stress, stay compliant, and safeguard your practice from financial consequences.
Does Your Practice Accept Medicare or Medicaid? You Need a Fraud, Waste, and Abuse Compliance Plan
April 18, 2023
Fighting healthcare fraud, waste and abuse is a government priority. To avoid trouble, every medical practice needs to understand the laws and develop a custom-tailored compliance plan.
My DME Company Received a Letter From a UPIC. What Should I Do?
February 22, 2021
If you receive a letter from CMS, should you worry? Do you need to call your attorney? Learn about the general domino effect of a UPIC audit notification.
Demystifying the Medicare ABN
August 7, 2020
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.
What We’re Watching For: Changes in Medicare Home Health Regulations That Affect Your Practice
March 19, 2020
In light of geriatric patients' vulnerability to COVID-19, physicians in small and solo practices are looking for Medicare-approved alternatives to office visits. Are house calls the answer?
Is That Lucrative Telemedicine Arrangement Actually a Scam?
September 30, 2019
“One of the largest health care fraud schemes ever charged” offers a cautionary tale as the U.S. Department of Justice criminally charges dozens of defendants involved in genetic testing telemedicine arrangements.
Can You Legally Waive Your Patients’ Co-Pays?
August 8, 2019
Before you waive the copayment for a patient, here are a few risks and situations to consider.
Payment Models in Post-Acute Healthcare Settings: A Primer
July 9, 2018
For several years now, CMS has been trying to move providers into value-based payment models. But they’ve recently recognized that pushing a hospital into a value-based model doesn’t mean that individual providers actually become value-motivated. Now,...