Physician Practice

Physician Practice Headlines

  • Revision to Publication 100-06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment

    On September 18, CMS published revised MLN Matters 9815, which accompanies Medicare Financial Management Manual Transmittal 293, dated September 14, 2017. The transmittal rescinds and replaces Transmittal 292, dated September 1, 2017, to correct formatting errors in the manual instructions.

    Effective date: April 2, 2018

    Implementation date: April 2, 2018

  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018

    On September 18, CMS published MLN Matters 10233, which accompanies Medicare Claims Processing Manual Transmittal 3861, dated September 15, 2017. The transmittal is in regards to the DME CBP files, which are updated on a quarterly basis in order to implement necessary changes to the HCPCS, ZIP code, Single payment amount, and Supplier files.

    Effective date: January 1, 2018

    Implementation date: January 2, 2018


  • 5 Keys to Finding Physician Champions

    Smart healthcare leaders recognize the importance of bringing clinical leaders to the table when navigating any type of change that affects their work, whether it be an IT implementation or new initiative.

  • Q&A: You've got questions! We've got answers!

    Question: We have multiple practice locations, and I have a couple of questions about the new-versus-established patient rules for E/M visits. Each of our practices has a unique group national provider identifier (NPI), but they share a tax identification number (TIN).

    The first question is: What happens when a patient leaves one practice, goes to a different practice and sees a new doctor of the same specialty? Is the patient new or established for his first visit with the new doctor at the new practice?

  • 3 ways to tighten up time in the waiting room

    Get three tips to improve efficiency in your waiting room.

  • MIPS: The next frontier in health information technology

    Health information technology is a troublesome area for many physicians, but not to the degree it was several years ago when meeting meaningful use standards for electronic health records (EHR) was a struggle. But practices are bracing for a new set of challenges as they move into quality reporting programs under the Merit-based Incentive Payment System (MIPS) and other programs under the Medicare Access and CHIP Reauthorization Act (MACRA).