Medical Office Blog

News and information you need to run your office.

Great Link to some answers for those Tricky Evaluation and Management Questions

Great link to some tricky Evaluation and Management questions.

Don’t Forget To Get Your ERX Claims Filed Prior to June 30th Or Face Penalty

To become successful electronic prescribers for purposes of avoiding the 2012 eRx payment adjustment, eligible professionals must report the eRx measure for a required minimum number of unique eRx events via claims between January 1, 2011 and June 30, 2011.

Contact Information for All CMS RAC Auditors

Each month you should check the RAC web site for your area to make sure you are aware of current audit issues…

What do you mean I can’t bill for services provided to dead people?

Atlanta physician pleaded guilty today in federal district court on two counts of health care fraud as part of a scheme to bill for group psychological therapy that was never provided.

Must Read Article on Proper Use of Modifier 33?

Please click on the line above to find out when you should and should not be using Modifier 33.

Click link below to find out more about Georgia Medicaid audits

House Bill 489 would have barred the state from paying a contingency fee to a contractor to recover Medicaid overpayments to doctors and hospitals. Implementing the bill would have put Georgia’s Medicaid program in conflict with federal law, Deal said in his veto message.

New Bill Removes Physicians from Red Flags Rule

The Senate and House have each passed bills that changes the Red Flags Rule’s definition of “creditor.”   The new bill no longer requires doctors to comply with the FTC’s identity theft prevention law (Red Flags Rule’s).  In essence, the term “creditor” has been modified to exclude physicians. “We hope that the [Federal Trade Commission] will now withdraw its [...]

More Compliance Help for Your Practice

The OIG HHS has released what they are calling A Roadmap for New Physicians – Avoiding
and Medicaid Fraud and Abuse. Read all about it and get it here.

New Information Regarding Pecos and claims NOT Being Paid

CMS just announced that they will not turn on the edits January 3, 2011 that would stop some claims from being paid because the ordering/referring provider is not enrolled in PECOS. More to come as CMS clears up its backlog.

PECOS is a big deal. How to tell if you are enrolled.

There are three different ways.

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