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Healthcare Fraud: Schemes You Need to Know About

Posted on January 14, 2014 By Michael Sculley

Fraud is nothing new, but that doesn’t mean it never changes. Certain parts of the ICD-10 implementation create obstacles for fraud detection. These are a handful of healthcare schemes to be aware 1. EHR-related fraud. As EHR systems become more prevalent, there are increasing issues with fraud re...

Practice Management

Practice Management Weekly Digest: EHR Fraud, Missing PHI, Clinical Notes

Posted on January 12, 2014 By Michael Sculley

Welcome to the PracticeSuite weekly medical billing digest – the best round up of industry news from the past week: Report Finds More Flaws in Digitizing Patient Files A report published this week by HHS’s Office of the Inspector General warns that not enough attention has been paid to addre...

Practice Management

6 Operational Threats to Your Medical Billing Business

Posted on January 9, 2014 By Michael Sculley

Does it seem like it gets harder to turn a profit on your medical billing services every year? There are many reasons for that, and we’ll explore them all in this post. But first, let us assure you that medical billing companies with the right strategy and the right technology can turn those threa...

Practice Management

5 Amazingly Easy Ways To Avoid ICD-10 Fraud Issues

Posted on January 8, 2014 By Michael Sculley

Earlier this month, we talked about the potential for longer claims cycles as automated detection systems are temporarily derailed by the ICD-10 changeover. In our last post, we discussed mitigating the risk of being falsely accused of fraud by moving to ICD-10 as soon as possible and hiring an inde...

Practice Management

Medical Billing Coding Goes Mainstream

Posted on January 6, 2014 By Michael Sculley

Is there a perfect storm coming in the form of ICD-10 coding, ACA reforms, and Meaningful Use? Will some doctors go out of business because of a failure to prepare for the ICD-10 changeover? All of these possibilities were explored in a New York Times article last week. The article starts out playfu...

Practice Management

Practice Management Weekly Digest: HITECH Fine, The Cloud, Failed EHR

Posted on January 4, 2014 By Michael Sculley

Welcome to the PracticeSuite weekly medical billing digest – the best round up of industry news from the past week: Cloud Storage: How Should Providers Protect their Interests? More and more providers are moving their applications and data to the cloud. This article notes that higher levels of...

Practice Management

The Practice Management Weekly Digest: PHI Breach, E-Prescribing, ICD-10 Issue Database

Posted on December 29, 2013 By Michael Sculley

Welcome to the PracticeSuite weekly medical billing digest – the best round up of industry news from the past week. Subcontractor Exposes Patient Information From Fairfax County Community Health Care A subcontracted vendor to the Fairfax County Community Health Care Network left patient inform...

Practice Management

Will ICD-10 Fraud Trigger Longer Revenue Cycles?

Posted on December 28, 2013 By Michael Sculley

Much has been made about the challenges associated with the ICD-10 transition in October, including expected problems with medical billing coder productivity. But little has been said about another challenge likely to affect the industry: fraud detection. There are several types of fraud prevention ...

Practice Management

Medical Billing Lessons Learned from Other Countries

Posted on December 26, 2013 By Michael Sculley

Canada changed over from ICD-9 codes to ICD-10 codes starting in 2001. The bad news is the implementation did not go smoothly. The good news is we can learn from the mistakes their providers made. ICD10Watch recently outlined eight lessons practice managers may want to incorporate into their changeo...

Practice Management

Practice Management Weekly Digest

Posted on December 21, 2013 By Michael Sculley

Welcome to the PracticeSuite weekly medical billing digest – the best round up of industry news from the past week: Solo Physician Paying ID Protection for 8,900 HealthData Management reported this week that a San Jose orthopedic surgeon is offering 8,900 patients a year’s worth of ID protec...

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Healthcare Fraud: Schemes You Need to Know About

Practice Management Weekly Digest: EHR Fraud, Missing PHI, Clinical Notes

6 Operational Threats to Your Medical Billing Business

5 Amazingly Easy Ways To Avoid ICD-10 Fraud Issues

Medical Billing Coding Goes Mainstream

Practice Management Weekly Digest: HITECH Fine, The Cloud, Failed EHR

The Practice Management Weekly Digest: PHI Breach, E-Prescribing, ICD-10 Issue Database

Will ICD-10 Fraud Trigger Longer Revenue Cycles?

Medical Billing Lessons Learned from Other Countries

Practice Management Weekly Digest

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