Author Archive

Long Term Planning for Practices- ICD-10

What better time than the beginning of the new year to plan for events far out in the future. One such event for your practice may be planning for the implementation of the ICD-10 code series set to be implemented by October 1, 2014. Below are some brief tips on how to plan: Identify the

CMS giveth and Congress (potentially) taketh away

The commotion over the 2013 Medicare Fee schedule belies the fact that some providers seek to gain an increase in the amount of their Medicare payments in 2013. Family practice physicians can potentially gain a 7% increase in their Medicare payments in 2013 taking into account new care coordination changes. This could potentially be a

Check-In Kiosks and Opthalmologists

There are many reasons that people do not like going to the doctor’s office. Whether it is fear of the unknown, fear of pain or fear of the long wait, most people do not feel that the doctor’s office is a day at the beach. I fall into the last category of fears- fear of

RAC Audits of E&M Codes to Begin for 15 States

In September the Center for Medicare and Medicaid Services announced that it will extend Recovery Auditor (RAC) review for Evaluation and Management (E&M) services to 15 states. These 15 states where the expansion is occurring are Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West

Hospital Mergers & Acquisitions: Are ACOs a Cause or an Effect?

Over the last several years, the pace of mergers and acquisitions involving either hospitals purchasing physician practices or hospitals purchasing other hospitals has quickened exponentially. Some factors driving the consolidation in the healthcare industry are increasing overhead costs, decreasing reimbursement rates and hospitals’ reaction to the Patient Protection and Affordable Care Act (PPACA). What PPACA

Preventive care and the Affordable Care Act: A Doctor’s Dream?

The old adage “an apple a day keeps the doctor way” may be losing its appeal as more Americans take advantage of the Affordable Care Act’s coverage for preventive medicine. The Affordable Care Act, extends coverage to private health insurance plan members for preventive care visits such as flu shots and other immunizations, screenings for

Affordable Care Act Rules to Prevent Fraud: How Increased Vigilance Will Affect Your Practice

If you are wondering how the new healthcare law – the Affordable Care Act – will affect your practice, you are not alone. Providers across the country are trying to understand the implications that this new law will have on reimbursements and the practice of medicine.  Well, because the public is clamoring for my opinion

ICD-10 Info Series Part 2

Welcome back! I hope that you enjoyed my last post about an overview of ICD-10 implementation. Well get ready, because today’s post covers the basic steps to comply with ICD-10 implementation as detailed by CMS. To CMS’s credit, there is no under exaggeration of the complexities and challenges that ICD-10 implementation will create. To this

ICD-10 Info Series – Part 1

An old saying goes that “laws are like sausages, it is better not to see them being made.”  The decision to transition from ICD-9 to ICD-10 by the Center for Medicare and Medicaid Services (CMS) is no exception to this saying and most likely the finished product will not be appetizing to most healthcare providers