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Region B Recovery Audit Contractor Posts Sample Demand Letter
CGI, the Medicare Recovery Audit Contractor (RAC) for Region B, recently posted a sample demand letter on its RAC website. The sample demand letter can be found in the article. Region B includes the states of Wisconsin, Michigan, Illinois and others. To download the letter more, click on visit http://medicareupdate.typepad.com/medicare_update/2009/08/racregionbsampledemandletter.html
More Practices Refusing to Accept Credit Cards From Patients
Increasing transaction fees are cited as a major factor for practices to not accept credit cards. But experts say those fees are still cheaper than issuing paper statements and chasing payments. To find out more, please visit http://www.ama-assn.org/amednews/2009/06/22/bil20622.htm Written by Bob Cook and published by amednews.com.
Expert Financial Advice Impairs Decision Making
New research may provide an explanation why financial fraud happens even when a financial advisor is involved. It seems that the area of the brain that makes decisions slows down when assessing expert counsel. This study serves as a warning for any investor who becomes passive after hiring a financial advisor. To learn about the study, please visit http://www.hcplive.com/pmdlive/mymoneymd/financial_advice_impairs_decision_making Written by Shirley M. Mueller, MD, and published by Money Digest.
Fraud Alert: Medical Board Certification Offer Targets Physicians
Physicians should be aware of a scam perpetrated through the mail involving the sale of bogus medical board certifications. A fictitious organization is posing as similar sounding board-certifying organizations and requesting a registration fee and an "expedited application form". Caution is being made that this is a fraudulent organization. To learn the names of the organizations in question, please go to http://www.aafp.org/online/en/home/publications/news/news-now/professional-issues/20090817board-cert-scam.printerview.html Written and published by AAFP News Now.
First Impressions Important in Building Long-Term Relationships
Every point of contact at a medical practice is critical to the patient experience. Satisfaction can be measured. Physicians need to seize the opportunity and turn dissatisfied patients into long-term customers. Learn tips and ideas at http://www.hcplive.com/pmdlive/in-depth-for-doctors/first_impression Written by Ed Rabinowitz and published by Money Digest.
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CMS Proposes Payment, Policy Changes for Physicians Services to Medicare Beneficiaries in 2010
The Centers for Medicare & Medicaid Services (CMS) announced proposed changes to policies and payment rates for services to be furnished during calendar year 2010 by over 1 million physicians and nonphysician practitioners who are paid under the Medicare Physician Fee Schedule (MPFS). Based on current data, CMS is projecting a rate reduction of -21.5 percent for CY2010. To learn more, click on Proposed Medicare Cuts
Creating an Experience Monopoly
What sets your practice apart from other practices? According to the author, Mark. F. Weiss, JD, it should be an experience monopoly. This substrategy is aimed to position a practice so it is viewed by the hospital administration and by the medical staff as the only conceivable provide of services. To find out more, please visit http://advisorylawgroup.com/experiencemonopoly.html Written by Mark F. Weiss of Advisory Law Group, a Prof. Corp. and originally published on AuntMinnie.com.
Killer Smartphone Apps for the On-the-Go Physician
A growing number of physicians use smartphones - mobile phones that combine online access to information with PDA functionality. Smartphones increase productivity, supplement physicians' knowledge and provide current information. To learn some free or low-cost apps you can use, please visit http://www.healthleadersmedia.com/content/235750/topic/WS_HLM2_TEC/Killer-Sm. Written by Cynthia Johnson, and published by Health Leaders Media.
Medical Home Pilots Boost Physician Incomes and Image
There are nearly two dozen medical home pilot projects or demonstrations currently underway around the country. One of the elements they all seem to have in common is the opportunity to boost a practice's income. To learn the concept behind the medical home pilots, please go to Medical Home Pilots. Written by Ed Rabinowitz and published by Money Digest.
Is Your Practice Optimized for Online Success?
So your medical practice has a website. But if your practice has a basic website, you could be missing out on a whole world of clients who need your help. You are competing though against medical directories like WebMD, Healthgrades, etc. Learn one of the most effective ways of attracting and keeping an online audience at http://www.physiciansnews.com/is-your-practice-optimized-for-online-success Written by Steven Fox and published by Physicians News.
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HHS Makes $75 Million Available to States to Expand Health Insurance Coverage
HHS Secretary, Kathleen Sebelius, announced the availability of $75 million to help states expand health insurance access to the uninsured. Grants will be made in two categories. Target grants will be awarded to states with plans to target specific groups of uninsured. Comprehensive grants will be awarded to states for extensive insurance coverage initiatives. To learn more, click on http://newsroom.hrsa.gov/releases/2009/stateaccessmay.htm
Turning Up the HEAT to Stop Medicare and Medicaid Fraud
The US Department of Health and Human Services (HHS) and the US Department of Justice (DOJ) are working together to help eliminate fraud through their joint initiative, Health Care Fraud Prevention and Enforcement Action Team (HEAT). The HEAT Team will expand efforts to stop fraud, and prevent it from happening in the first place. To find out more, please visit http://www.hhs.gov/stopmedicarefraud/
Retirement Blues for Doctors
The devastation in the stock market not only has many doctors postponing their plans for retirement, it also has many retired physicians looking for work. What are your new options if you are caught in this situation? To find out more, please visit http://www.hcplive.com/pmdlive/on-call-today/Retirement-Blues Written by Michael Sheehan, and published by Money Digest.
Medical Finance Advising No Easy Task for Physicians
According to results of a recent survey conducted by the Center for Studying Health System Change, only 48% of physicians say they are comfortable talking about medical budgeting with patients. A key question is, should physicians be more actively involved in the process? http://www.hcplive.com/pmdlive/in-depth-for-doctors/medical_finance To determine the answer, please go to Written by Ed Rabinowitz and published by Money Digest.
Eavesdrop on Doctors and Medical Students on Twitter
News is broken on Twitter faster than any other medium. Learn the feed to use to follow conversations of doctors and medical students who use Twitter. But is it the best use of your time or a mere distraction. To find out more, please visit http://efficientmd.blogspot.com/ Written by Leigh Ann Hubbard, Managing Editor and published by EfficientMD.com.
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CMS Releases 2010 Medicare Advantage Capitated Rate Information
The Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year 2010 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies. The first estimate of the 2010 national per capita Medicare advantage growth percentage (NPCMAGP) for aged and disabled enrollees is .81%. The NPCMAGP for 2010 is higher than CMS' February 2009 Advance Notice, but much lower than NPCMAGP's for 2008 and 2009. To learn more, please visit http://medicareupdate.typepad.com/medicare_update/2009/04/medicareadvantage2010rates.html
Billions for Health Records Rest on NIST Standards
The National Institute of Standards and Technology, NIST, will receive $20 million to develop standards for electronic health records. That standard, health IT researchers say, is the linchpin in making the system work. To learn standards for the systems the national health network will tie together, click on http://www.nextgov.com/nextgov/ng_20090225_4974.php. Written by Bob Brewin and published by nextgov.
Red Flag Rules on Identity Theft Take Effect Soon
Effective May 1, many physicians will be required under federal law to assist the government in detecting, preventing and mitigating "red flags" of identify theft. Physicians are subject to the red flag rules if they satisfy a two-part test. To find out more, please visit http://www.ama-assn.org/amednews/2009/03/30/bica0330.htm. Written by Steven M. Harris and published by amednews.com.
Medical Groups Keep an Eye to the Future: Flexible Work Options Create a Competitve Advantage
Medical groups will need to understand the realities of today's workforce and find the best way to maximize the contributions of every physician - at every stage of his or her medical career. Medical groups who keep an eye toward the future will recognize that they can sharpen their competitive edge in finding and keeping physicians. The way to do that can be learned at http://www.physiciansnews.com/medical-groups-keep-an-eye-to-the-future-flexible-work-options-create-a-competitive-advantage/ Written by Lori Schutte, President, Cejka Search and published by the Physician News Digest.
When Physicians Become Patients: Coping with Stress and Burnout
Clinical investigations have demonstrated that burnout is present and widespread within the medical profession, and most American doctors are significantly overworked. The highest stressors have been excessive workload, increasing overhead, and night and weekend work. To find out how to manage your stress and potential burnout, please visit http://www.physiciansweekly.com/article.asp?issueid=547&articleid=4937&printable=1 Written by Wesley E. Sime, MPH, PhD and published by Physicians Weekly.
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Summary of President's 2010 Budget
On February 26, 2009, President Obama submitted an outline of his 2010 Budget. Included is a new Healthcare Reform Reserve Fund that will, if approved by Congress, have $634 billion in revenues to be collected and spent over the next 10 years. The money would be reserved to help fund comprehensive health care reform. The funds would come from two sources: New revenue by limiting the tax deductions of "wealthy" individuals and spending cuts in the Medicare and Medicaid programs. To learn more, please visit http://medicareupdate.typepad.com/medicare_update/2009/02/obama2010budget.html
Economic Stimulus Package Includes Incentives for Use of Health Information Technology
The federal American Recovery and Reinvestment Act (Stimulus Bill), enacted on February 17, 2009, includes the provision of the Health Information Technology for Economic and Clinical Health Act (HITECH Act). This Act aims to increase healthcare providers’ use of health information technology. To learn about the IT stimulus provision, click on
http://www.hinshawlaw.com/economic-stimulus-package-includes-incentives-for-use-
of-health-information-technology-02-26-2009/.
Don't Lose Patience (or Patients) Over Rising Delinquencies
The healthcare the industry is suffering from the economy’s woes. The economic downturn is making it harder and harder for all patients (both insured and uninsured) to pay their bills. Patients are putting medical bills at the bottom of their financial priority list. The article offers some options on managing accounts receivable. To find out more, please visit
http://www.physiciansnews.com/don’t-lose-patience-or-patients-over-rising-delinquencies/
Written by Lauren A. Irwin-Szostak and published by Physician News.
Ten Reasons To Go On Vacation
The author, Susan Davis, outlines 10 really good reasons to go on vacation. Most of her reasons deal with the positive impact it has on your health. For instance, did you know that men can lower their risk of death from heart disease by 30%? The rest of the list is at http://www.allbusiness.com/medicine-health/
diseases-disorders/11470309-1.html Published by AllBusiness.com.
Framing Stock Market Losses: Staying Head Healthy While Experiencing Monetary Pain
Many of us have lost money with our stock market investments. There are two ways to react: panic or adapt. If you panic, you risk allowing the current situation to snowball into one that will become increasingly difficult to manage. Money stress is no different than any other type of stress we face. Learn how to frame the situation for yourself at http://www.hcplive.com/pmdlive/mymoneymd/framing_losses
Written by Shirley M. Mueller, MD and published by Money Digest.
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CMS Outlines Foundation to Improving Healthcare
The Centers for Medicare & Medicaid Services (CMS) issued Quality Measurement, Resource Use Measurement, and Value-Based Purchasing Roadmaps for the traditional Medicare Fee-For-Service Program. These were developed due in part to shifting the Medicare FFS program away from paying providers based solely on the volume of services and instead paying them for quality and value of care. To learn more, please visit http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3410&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=
3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=d
Posting Negative Comments Could Get You Sued
A San Francisco doctor is suing a patient for posting a negative review of his office on Yelp.com. But what constitutes libel vs. free speech on the Internet? The author, J.R. Raphael, offers his opinion on the incident, and discusses the legal aspects of the case. To learn about the dynamics of the lawsuit, click on http://www.allbusiness.com/legal/legal-services-litigation/11745867-1.html
Published by AllBusiness.com.
Leadership During Economic Turmoil: Q&A With Ram Charan
Leaders are those who are able to connect to external change and confront the reality of what it is. If they do that, their companies will come out ahead of others. Business advisor Ram Charan details exactly how to do this in his latest book, Leadership in the Era of Economic Uncertainty. To find out more, please visit http://www.fastcompany.com/blog/anne-lee/green-room/leadership-during-economic-turmoil-qa-
ram-charan. Written by Anne Lee and published by FastCompany.com.
Health Care Meets Social Networking
The Mayo Clinic tried social media four years ago, and watched as over 76,000 people in one month listened to a 60-second podcast. Since them they've advanced to adding a Facebook page, a YouTube channel and "secret groups" on Facebook. What other sources are available and how are they helping other healthcare entities? The Health 2.0 information is at http://jacksonville.bizjournals.com/jacksonville/stories/2009/01/19/daily9.html?ana=e_du_pap
Written by Kimberly Morrison and published by the Jacksonville (FL) Business Journal.
Few Patients Check Online Doctor Ratings
Two recent studies suggest few potential patients are checking the internet to choose their next doctor and still rely on word of mouth to make that choice. Found out the results of a survey and learn more about physician ratings at http://medicaleconomics.modernmedicine.com/memag/Modern+Medicine+Now/Few-patients-
check-online-doctor-ratings/ArticleStandard/Article/detail/573859?contextCategoryId=7155
Written by Morgan Lewis Jr. and published by Medical Economics.
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Final 2009 Changes to Payment Policies and Rates Under Medicare Physician Fee Schedule
On October 30, 2008, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for the Medicare Physician Fee Schedule (MPFS) for calendar year CY 2009. The final rule establishes payment rates and policy changes that will go into effect for services furnished by physicians and non-physician practitioners (NPPs) to people with Medicare on or after January 1, 2009. To read the fact sheet and payment changes, please visit http://www.cms.hhs.gov/apps/media/press/
factsheet.asp?Counter=3333&intNumPerPage=10&checkDate=&checkKey=&srchType=1&
numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=
&pYear=&year=&desc=&cboOrder=date
New Rule Proposed by HHS Would Create Financial Burden for Healthcare Providers
The U.S. Department of Health & Human Services (HHS) proposed a new rule last August requiring all physician practices and clinical laboratories to use a new coding set (ICD-10) and new HIPAA transactions standards (5010). The implementation of the ICD-10 code set and the 5010 standard together will have a profound impact on these operations - up to $300,000 for a 10-physician practice. To learn about the financial cost to a physician practice, click on http://www.medicalnewsinc.com/news.php?viewStoryPrinter=199. Written by Lynne Jeter and published by Medical News, Inc.
Asset Allocation: Investing with Discipline
If you're looking for a smart way to reduce investment volatility while still retaining profit potential, consider the advantages of asset allocation. Asset allocation is the process of deciding what percentage of your money to put into the three major asset classes, plus determining your tolerance of financial risk. To find out more, please visit http://physiciansnews.com/finance/1208.html. Written by Cameron Short and published by Physician's News Digest.
PricewaterhouseCoopers Identifies the Top Nine Issues for Health Industries in 2009 Financial Crisis
PricewaterhouseCoopers (PwC) says the health industry will face a plethora of challenges in the year ahead, including how to deal with more underinsured, adapt to new coding and payment methods, and fund new cures in a capital-starved market. The top nine health industry issues in 2009 are listed at http://www.fiercehealthcare.com/node/34825/print Published by FierceHealthcare.
Thoughts on Patient-Physician Email
Just about every profession has enthusiastically adopted email as a rapid, non-interrupting, easily documented form of communication -- so why hasn't medicine? There are many reasons. To learn some of them, please click on http://efficientmd.blogspot.com/2008/04/thoughts-on-patient-physician-email.html. Written by Joshua Schwimmer, MD and published by The Efficient MD.
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Federal 'Red Flag' Identity Theft Rule Suspended
The Federal Trade Commission will suspend enforcement of the new “Red Flags Rule” until May 1, 2009, to give creditors and financial institutions additional time in which to develop and implement written identity theft prevention programs. The suspension does not affect other federal agencies’ enforcement of the original November 1, 2008 deadline for institutions subject to their oversight to be in compliance. The rule applies primarily to financial institutions and other lenders, but many healthcare providers are also subject to its provisions because they fit the broad definition of "creditor". To learn more about the Identity Theft Red Flags and Address Discrepancies Act of 2003, please visit
http://www.ftc.gov/opa/2008/10/redflags.shtm
Emergency Economic Stabilization Act Adds Tax Relief to Financial Rescue Initiative
On October 3, 2008, President Bush signed the Emergency Economic Stabilization Act of 2008 (the "Act") which includes over $150 billion in tax relief for businesses and individuals in addition to the much-publicized financial markets rescue package. Businesses and individuals should act now to review their tax planning strategies in order to maximize current-year tax savings before year-end. Read the tax incentives at http://www.cbh.com/bulletin-econ-stabilization.php Published by Cherry Bekaert & Holland, CPAs and Consultants.
Palm Trees and Palm Pilots
You can deduct the cost of a business convention held in an exotic locale if the primary purpose is business-related. But you must stay inside "North American areas." To find out more, please visit http://www.bizactions.com/modules/popup_printarticle.cfm/pr/92794664G612J972792P8P1402T1/type
/100/?x=41&y=2 Published by Biz Actions.
Physician Data Restriction Program (PDRP)
Restricting access to prescribing data should be every physician's choice. The American Medical Association's (AMA) Physician Data Restriction Program (PDRP) puts the choice in doctors' hands. This program will ensure that vital information on prescribing patterns continues to be available for beneficial public health purposes. To find out more about the program, please visit http://www.ama-assn.org/ama/pub/category/12054.html
Laughter is Often the Best Medicine
A recent study showed that emotional responses ranging from sadness to fear and to happiness have a positive effect on one's health. Some of the theories regarding how one experiences pain suggest that a person can be distracted from pain by other sensations or feelings. Laughter can actually distract from pain. To read how humor can improve your life, please click on http://www.rwjobgyn.org/atoz/centers/sixtyplus/60humor.asp Written by Michael R. Wasserman, M.D. and published by HealthAtoZ.com.
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Qualified Registries for 2008 PQRI
CMS has posted the list of “qualified” registries that may submit quality measures information on behalf of eligible professionals who seek to earn an incentive payment using registries in 2008. Also available in this article are 2007 PQRI feedback reports, 2009 physician fee schedule notice of proposed rulemaking and new reporting options for 2008, plus more. Get up-to-date at http://www.cms.hhs.gov/PQRI/
HBMA Asks, Is Your Medical Information at Risk?
At the recent Healthcare Billing and Management Association’s (HBMA) Fifteenth Annual Spring Meeting, Randy Johnston helped members under practical techniques to protect hardware system and secure data management. Is your information secure? To find out, read his suggestions at http://www.billing-coding.com/advantage/print.cfm?ArticleID=2429 Published by BC Advantage.
The Physician and the Entrepreneur
The skills that make a good entrepreneur aren’t necessarily the same as those that make a good physician. The expert entrepreneur must be a swift decision-maker and must often move with great urgency and speed. A good physician must often display great patience with his or her patients and their treatment. Learn how to capitalize on opportunities to run your practice better at http://www.pfnlive.com/house-call/physician-entrepreneur. Published by PFN Live and written by Mike Hennessy.
Practice Acquisition: The Next Generation
The regulatory environment recently has continued to tighten and the ability of hospitals to subsidize physicians in exchange for loyalty has been restricted by the ongoing series of Stark rules. New forms of affiliations between hospitals and physicians are emerging that bear little resemblance to the 1990s style practice purchases. Two of the latest models are discussed in this article as published by Physician’s News Digest at http://www.physiciansnews.com/law/808maruca.html. Written by William H. Maruca, Esq.
Increase Your Focus
Do you ever have days or times that you can’t seem to focus on what you should be doing? There are things you can do to help increase your concentration. Learn these techniques at http://www.pfnlive.com/blog/Increase_Your_Focus. Published by PFN Live and written by Donna Weinstock.
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New 2008 Medicare Physician Fee Schedule Payment Rates
The Medicare Improvements for Patients and Providers act of 2008 was enacted on July 15, 2008. As a result, the mid-year 2008 Medicare Physician Fee Schedule (MPFS) rate of -10.6% has been replaced with a 0.5% update, retroactive to July 1, 2008. To learn when MPFS payments are to begin, please link to http://www.cms.hhs.gov/pf/printpage.asp?ref=http://www.cms.hhs.gov/PhysicianFeeSched/01_overview.asp
SEC XBRL Mandate: What You Don't Know Will Hurt You
The U.S. Securities and Exchange Commission (SEC) is proposing that the largest 500 companies implement the Extensible Business Reporting Language (XBRL) for their 2008 year-end reports. Public companies will have to follow suit within the next 2 years. This key tool will reduce or eliminate the wide range of internal manual processes necessary for operations, management and financial reporting, with the intended outcome to standardize the entire business reporting supply chain. To learn what XBRL is and why should you be concerned, click on http://www.networkworld.com/news/2008/063008-sec-xbrl-mandate-what-you.html. Published by NetworkWorld, and written by Mike Willis, CIO.
5 Ways to Make Your Company GenY-Friendly
If you want to create or sustain a Best Place to Work environment, you will need the additional help of Generation Y or Millennials, the group of nearly 80 million individuals born between 1979 and 1999. A recent NetworkWorld and Yahoo HotJobs poll indicates the more senior members of the group placed salary, benefits and opportunities for professional growth at the top of their lists. What else made it? Find out at http://www.networkworld.com/news/2008/062608-5-ways-to-make-your.html. Published by NetworkWorld and written by Katherine Spencer Lee, Computerworld.
AMA Launches Campaign to Cut Waste from Chaotic Insurance Claims Process
The American Medical Association (AMA) launched the Cure for Claims campaign to help health the ailing system of processing medical claims with health insurers. The organization also unveiled the first AMA National Health Insurer Report Card on claims processing. These tools provide physicians and the public with an objective and reliable source of information on the timeliness, transparency and accuracy of claims processing by health insurance companies. To access the Report Card, along with Cure for Claims payer sampling report, please go to http://www.ama-assn.org/ama/pub/category/18672.html.
Physician Hat Tricks
What distinguishes a physician leader from other doctors? Dr. Richard Schwartz, a professor of surgery at the University of Kentucky College of Medicine cites someone who is able to deliberately put on a different hat - clinical or managerial - depending upon the task. Of course, shifting focus to a specific area of management is not easy nor for everyone. To find out how to "switch hats" to become a leader, please go to http://www.healthleadersmedia.com/print/content/211729/topic/WS_HLM2_PHY/Phy
sician-Hat-Tricks.html. Published by HealthLeaders Media and written by Elyas Bakhtiari.