Provider Risk in ICD-10
Share this page: On July 7, 2015, the acting administrator for the Centers for Medicare and Medicaid Services (CMS), Andrew M. Slavitt, sent out a notice to all providers that CMS would be lenient in processing of the claim forms as long as provider’s codes are in the...
You Did That On Purpose!
Share this page: “You did that on purpose!” The meaning behind this one simple childhood utterance can literally change your life… almost overnight. Here’s the scenario. Little Tommy intentionally pushes little Suzie. Suzie runs to the teacher...
How to Take a Break – And Survive!
Share this page: The demands of practice can often be daunting. We know we should take care of ourselves and take a break once in a while. Getting away is not always practical. Overhead is still present, staff doesn’t always keep to our schedule because of family...
Co-pays, Co-insurance & Deductibles
Share this page: Question: The recent increase in deductibles and co-pays has negatively affected my patients and practice. I am out-of-network with most insurance plans. Do I have to collect the full deductible? Is it possible to waive a portion of the co-insurance?...
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.