Medicare billing is very closely scrutinized so it’s important to get it right the first time. Remember, it’s not your decision whether to bill Medicare regardless of whether you’re participating or non-participating…that decision rests with the patient. This course walks you through the importance of using the right fee schedule, billing the right party, and…
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Determining what to charge patients when they transition to Non-Medically Necessary Wellness/Supportive or Maintenance Care can be a quagmire of missed steps and opportunities. Let Kathy help you decide which of the three payment options might work best for your office and the patient in these circumstance…oh, and don’t forget to get a signature on…
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Surely something as serious as an Anti-Kickback violation could never happen in our small Chiropractic practice! But it does, and more often than you’d imagine. Our friends at ChiroHealthUSA took this difficult concept and made it quick and simple. Review the short video below and determine whether your discounting practices may be exposing you to…
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Hardship Discounts for Copayments and Deductibles One of the most significant inducement violations in health care is routinely waiving copayments and deductibles. It is such a serious violation that a number of federal advisory opinions have been written on the subject. Often, providers believe that simply proclaiming a hardship is enough, and high copayments or…
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Implications of Discounting for Federal Patients The Patient Solicitation Anti-Inducement Provision Section 1128A of the Social Security Act, enacted as part of the Health Insurance Portability Act (HIPAA), provides for the imposition of civil monetary penalties against any person that offers or transfers to a Medicare or Medicaid beneficiary any remuneration that the person knows…
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Our friends at ChiroHealthUSA have shared this short and simple explanation of the dangers of inducement violations. Many physicians think they are doing the right thing with discounts or freebies, but they are doing it the wrong way. Spend a couple of moments here and then determine whether your practice’s systems may be unknowingly exposing…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials.
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