October 15, 2016 marked 40 years since the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) was launched in 1976. It is now the largest inspector general with 1,600 employees and 70 offices and oversees $1 trillion in spending. The HHS OIG is charged with fighting fraud, waste and abuse in federal health care programs—primarily Medicare … [Read more...] about OIG celebrates 40 years of fighting fraud
Compliance
Final rule on MACRA released and it’s a pleasant surprise
By Tina Colangelo, MHA bio CMS has finally released its long and highly anticipated final rule MACRA Quality Payment Program. News spread like wildfire as the highly anticipated final rule of CMS's MACRA Quality Payment Program was rolled out. The 2,398 page document shows mercy to all physicians especially those in small practices! Everybody can breathe a sigh of relief; … [Read more...] about Final rule on MACRA released and it’s a pleasant surprise
Pop Quiz: Are you ready for the new FLSA overtime rules?
Effective December 1, 2016, the new FLSA (Fair Labor Standard's Act) overtime rules come into effect and the minimum salary level for non-exempt employees is increasing. What this means for medical practices is that some employees you currently have categorized as exempt might actually qualify for overtime pay. Under the new rules, to be categorized as exempt, employees must … [Read more...] about Pop Quiz: Are you ready for the new FLSA overtime rules?
Spending too much time, effort, and money on recruitment? Borrow from others’ ‘best practices’
By Carl Kutsmode bio Hiring top talent for your medical practice isn't easy. And, the bad news is that it won't get easier anytime soon. Just consider a few facts: The Bureau of Labor Statistics states that the employment of staff physician assistants is projected to grow 30 percent from 2014 to 2024, much faster than the average for all occupations. Roughly … [Read more...] about Spending too much time, effort, and money on recruitment? Borrow from others’ ‘best practices’
Keeping the records long enough… but not too long
Records retention raises questions in almost all offices. And as a result, offices tend to hang onto records far too long, says attorney and records management expert Donald S. Skupsky, JD, CRM. Skupsky is president and CEO of Information Requirements Clearinghouse in Denver, which provides consulting services as well as software and publications on the legal requirements of … [Read more...] about Keeping the records long enough… but not too long
Office predators can take many forms
By Steve M. Cohen bio Although human behavior covers a huge range, it can often be categorized into several general areas. One of these categories is "opportunistic" and could even be described as predatory. With this kind of behavior, the individual sees an opportunity to take advantage of a person or a situation and then does so. For example, I overheard two … [Read more...] about Office predators can take many forms
ICD-10: from transition to full implementation—and the first round of updates
The transition from ICD-9 to ICD-10, which took effect October 1, 2015, has significantly impacted health care providers. An entirely new set of codes as well as expansion of codes for greater specificity are now required. ICD-10 is a completely different system. The code set has been expanded from five positions (first one alphanumeric, others numeric) to seven positions. … [Read more...] about ICD-10: from transition to full implementation—and the first round of updates
Why the new Massachusetts law matters, regardless of where your practice is located
Massachusetts recently signed into law An Act to Establish Pay Equity, S.2119, which takes effect on July 1, 2018. The new law prevents wage discrimination based on gender. The law includes several noteworthy changes related to the employment process, but perhaps the most significant is that it prohibits employers from requiring applicants to provide their salary history … [Read more...] about Why the new Massachusetts law matters, regardless of where your practice is located
What every office manager needs to know about ‘at-will’ employment
What does at-will employment mean? It means that either the employer or the employee can end the relationship at any time and for any reason or for no reason at all – unless there is a contract for a term of employment. So why should a manager be concerned about that? Because most states say yes, there can be an implied contract of employment and no, that contract doesn't … [Read more...] about What every office manager needs to know about ‘at-will’ employment
Is your practice aware of significant changes to Medicare’s MACRA program?
A transformative law is on track to fundamentally change how physicians and other clinicians are reimbursed under the Medicare Physician Fee Schedule (PFS), but half of recently surveyed physicians have never heard of it, according to the "Deloitte Center for Health Solutions 2016 Survey of U.S. Physicians." The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) … [Read more...] about Is your practice aware of significant changes to Medicare’s MACRA program?