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Try these 3 ways to reform, keep noncompliant patients before letting them go

04/23/2018

In this age of value-based care – and compensation -- experts see more practices “firing” patients who don’t follow doctors’ orders but say you should try to change the ways of noncompliant patients first.

Cryptojacking a new threat to your patients’ PHI; treat incidents seriously

04/23/2018

by: Roy Edroso

While ransomware and similar computer exploits are hitting medical practices, you also should be alert to another cyber-invader that can slow down your practice’s system and cause a security breach.

Document interactive contact for TCM services involving multiple providers

04/23/2018

by: Richard Scott

Question: After a discharge, primary care schedules the patient with the cardiologist, and the cardiologist completes all of the requirements necessary for transitional care management (TCM) services. Is this a valid TCM visit, even if the person who made the initial contact does not work for the cardiologist?

Not all NPP work with a doctor nearby can be claimed incident to

04/23/2018

by: Roy Edroso

Question: We have a non-physician practitioner (NPP) who works with our physicians, and all his work is claimed incident to. Sometimes I’m not sure it’s appropriate. I’m told that as long as the supervising physician is in the office when the NPP works and signs the claim, there’s no problem. Is that so?

TCM claimants improve as utilization goes up, denials go down

04/23/2018

by: Roy Edroso

Claims for transitional care management (TCM) codes 99495-99496 are up and denials are down, but the rising tide is not lifting some specialties (like neurosurgery) nor some places of service (like inpatient hospitals).

Part B News briefs

04/23/2018

by: Marla Durben Hirsch

Be on the lookout for an increase in fraud penalties after the Bipartisan Budget Act of 2018 kicks in and find out about a Department of Justice crackdown on a Florida dermatologist.

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