Category Archives: Newsletters and Blogs

Doctors and Hospitals’ use of Health IT more than Doubles since 2012

As reported on CMS.gov HHS Secretary Kathleen Sebelius today announced that more than half of all doctors and other eligible providers have received Medicare or Medicaid incentive payments for adopting or meaningfully using electronic health records (EHRs). HHS has met … Continue reading

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Why Physicians Should Welcome Patient Complaints

By Carla J. Rotering, MD Physician communication is the number one factor most highly correlated with the likelihood that patients will return to a hospital or medical practice. This conclusion is one that I have personally experienced and highlighted as … Continue reading

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Warnings for Ordering/Referring

CMS ordering/referring Phase 2 could mean claim denials beginning May 1 The Centers for Medicare & Medicaid Services (CMS) recently announced they will move forward with Phase 2 of the ordering/referring edits effective May 1. As previously reported, these requirements … Continue reading

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What are Some Key Considerations When Deciding Whether to Participate with a Payor?

By Teresa Kroll, MS, Healthcare Solutions WNY LLC Since most medical practices depend on insurance reimbursements for a majority of their income, it’s important to view payors as key partners to help you grow your business. In fact, a solid … Continue reading

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New Functional Reporting Codes and Modifiers for Therapy Services after June 2013

By Liz Wilson, CCS, RHIT, CEMC, CPMA Director of Coding and Auditing Compliance Officer Effective July 1, 2013, all Occupational (OT), Physical (PT) and Speech Therapy (SLP) services will have new coding requirements when submitting Medicare beneficiary claims. To recap … Continue reading

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What Can Healthcare Learn from the Hospitality Industry?

By Bryan Hayes,COO for White Lodging In the hotel industry, hospitality in its purest form is the friendly treatment of guests. Practicing hospitality helps hotel owners and operators gain loyal, repeat customers – something that all industries desire. The hotel … Continue reading

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NCQA Launched New Healthcare Delivery System Model on March 25, 2013

By Liz Wilson, CCS, RHIT, CEMC, CPMA Director of Coding and Auditing,Compliance Officer Healthcare Solutions WNY LLC Many of us recall that as early as 2010, the clinical community was first introduced to the National Committee for Quality Assurance (NCQA) … Continue reading

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Top 13 things to watch in 2013

As 2013 gets underway, here are the top government affairs issues that will impact practice executives, medical groups and the healthcare industry this year. Political battles from 2012 spill into 2013 As new Representatives and Senators are sworn in and … Continue reading

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How to Avoid Being Banned from Medicare

By Michael J. Daray Healthcare providers and organizations must be highly vigilant in an atmosphere of stricter scrutiny and regulatory enforcement by the federal government. In particular, they must preserve their participation rights in Medicare and Medicaid. As Medicare has … Continue reading

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Getting Your Practice Acquainted with 2013 CPT Code Changes in the New Year

By Liz Wilson,RT, CCS, RHIT, CEMC, CPMA Director of Coding and Auditing Compliance Officer The American Medical Association (AMA) has revamped its Current Procedural Terminology (CPT) codes for 2013. These changes are effective as of January 1st. The key to … Continue reading

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