HHS/OIG Exclusion List ViolationsIn the latest Compliance Guy blog post, Sean Weiss discusses the OIG exclusion list, or the Inspector General's List of individuals and entities excluded from participation in Medicare, Medicaid, and all other Federal health care programs, and how healthcare organizations are responsible for verifying their potential employees’ ability to hold employment and vetting any vendors.
Telehealth: A Rapid Trend or a Sustainable Future? What Telemedical Barriers Practices Face and How They Can Manage ThemJoin NSCHBC members and healthcare consultants Adam Middleton, Amanda Waesch, Terry Fletcher, Maxine Lewis, and Kathy Moghadas as they discuss the rise of Telehealth usage in the field of healthcare, as well as the roadblocks and barriers that providers are facing against its lasting sustainability in their service mix.
Medicare’s Accelerated and Advanced Payment (AAP) loan repayment has started as of March 30th, 2021.In March 2020, the Centers for Medicare and Medicaid Services expanded the Accelerated and Advanced Payment Program (AAP) due to the COVID-19 Public Health Emergency, in an effort to increase cash flow to providers. CMS pushed out over $34 billion dollars in these loans.
Bill of Health: Take charge of patient-friendly debt collection
In his latest article for CMA Today, Mark Harris interviews NSCHBC president David J. Zetter for his thoughts on how medical practices should update their approach to both financially motivated patient interactions and billing in order to avoid or reduce the need to pursue out-of-pocket charges for services already rendered.
Administrative Law Judge (ALJ) Hearings
In his latest Compliance Guy blog post for Doctor’s Management, Sean Weiss discusses the four Administrative Law Judge (ALJ) hearings he attended on behalf of his different clients. These hearings dealt with the Medicare Benefit Policy Manual, documentation, and Local Coverage Determinations (LCD).
Provider Relief Funding (PRF) took on many faces, PPP1 and PPP2, EDIL, HHS Funding and more. Are you prepared for Tax Season?
Over the last year the healthcare community has been faced with many challenges because of the COVID-19 pandemic. We’ve seen shutdowns, the halting of elective surgeries and procedures, a pivot to telehealth and a decline in patient encounters. Physician practices have had to navigate this and figure out how they would financially stay afloat during this time.
Telehealth, Now and after PHE
As we are now well into 2021, and over 12-months from the beginning of the first announced PHE (public health emergency), the past year has been a whirlwind of medical practices having to pivot to a new delivery of care, Telemedicine. This platform, also referred to as Telehealth, has seen an uptick of visits in the 80-90% range of overall patient outpatient encounters according to MGMA.
Surprise! A Cautionary Tale for Out-Of-Network Billing: The No Surprises Act and the Impact on Healthcare Providers
This article, written by Jeana Singleton, discusses how at the end of 2020, Congress passed The No Surprises Act, and that providers billing as out-of-network need to begin thinking about strategies to comply with the new law which is set to take effect on January 1, 2022.
Regulatory Updates to Physician Self-Referral and Anti-Kickback StatuteCompliance Guy Sean Weiss walks readers through the regulatory updates to the Physician Self-Referral and Anti-Kickback Statute (AKS), noting the clarifications and similar changes between the Stark and AKS.
8 budget-friendly ways to market your practice during COVID-19Medical Economics writer Lisa Eramo interviews NSCHBC president David Zetter and other business experts in the healthcare industry to discuss how physicians affected by the COVID-19 can use marketing to connect to new and existing patients while still remaining in within their budget.
Regulatory Updates to Value-Based Care Arrangement Exceptions – Stark and AKS
In this summation of the Federal Register, Sean Weiss guides readers through what he believes to be the most impactful parts of the Final Rule, and discusses new terms, what does and does not support VB arrangements, and much more.
5 Things that every Health Practice can do to Boost Profitability in 2021
A New Year brings new challenges, but for healthcare practices, there is reason for renewed optimism. In this article, an expert panel from the National Society of Certified Healthcare Business Consultants gives 5 ways healthcare practices can boost profitability in 2021.
Provider Relief Funds – Continued Confusion Regarding Reporting Requirements and Lost Revenues
In this article, Amanda Waesch discusses how the HHS issued multiple rounds of guidance regarding the reporting requirements for Provider Relief Funds, and how these many changes and uncertainty has affected how and when providers will receive funds moving from 2020 into 2021.
Seema Verma Answers Critical Questions on Healthcare Policies for 2021
In a recent interview with Seema Verma, Administrator of CMS, Sean Weiss discusses with her the major questions left in the wake of significant policy changes, going over the 2021 HHS-CMS’ Conversion Factor, 1135 Pandemic Waivers, and other critical topics.
Highlights of Medicare’s 2021 fee schedule final rule
Author Grant Huang discusses the Medicare Physician Fee Schedule (PFS) final rule that the Centers for Medicare & Medicaid Services just released. Changes to guidelines are explained as well as other important additional provisions that the rule touches on.
Vaccine Considerations for Employers
As vaccine roll out continues across the country, laws and policies on usage are being continuously developed, and writer Jeffrey C. Miller discusses what employers should take into account when considering their own workforce and vaccines.
Value-Based Care Advances – CMS Issues New Final Rules for Stark and Anti-Kickback Statutes
Writers Jenna Singleton and Ashley Watson discuss the anticipated Final Rules created to reform both the Stark Law and Anti-Kickback Statute (“AKS”) regulations, as well as discuss the guidance the Final Rules provide to physicians and other healthcare providers when entering into value-based arrangements.
IRS Guidance on Employee
Writers Christopher Meager and Krista Warren with James Young discuss how the IRS has addressed the Employee Retention Credit issue with the CARES Act loan, detailing who is now eligible for the credit whether or not the loan has been paid back by the set due date and why.
Would It Be Smart to Sell Your Medical Practice Now?Leigh Page, writer for Medscape Medical News, discusses how the COVID-19 pandemic has affected the financials of many private healthcare practices, and interviews NSCHBC member Mark Dietrich for his perspective on whether or not now is a good time for physicians to close or sell.