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It’s time to add NPPs to your Practice: How to make them cost effective and profitable – Part 1

It’s time to add NPPs to your Practice: How to make them cost effective and profitable – Part 1

Adding Non-Physician Providers (NPP’s) such as nurse practitioners (NPs) and physician assistants (PAs) can substantially increase a primary care, specialty and/or surgical practice’s profitability and access by improving patient care and providing additional availability for appointments and practice hours in order to reduce fixed costs per provider and increase profitability for the physician owner.
HHS/OIG Exclusion List Violations

HHS/OIG Exclusion List Violations

In 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.
Bill of Health: Take charge of patient-friendly debt collection

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.
Surprise! A Cautionary Tale for Out-Of-Network Billing: The No Surprises Act and the Impact on Healthcare Providers

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 Statute

Regulatory Updates to Physician Self-Referral and Anti-Kickback Statute

Compliance 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. 
Regulatory Updates to Value-Based Care Arrangement Exceptions – Stark and AKS

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.
Seema Verma Answers Critical Questions on Healthcare Policies for 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. 

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