The Centers for Medicare and Medicaid Services and the Office of Inspector General are more aggressive than ever about collecting any overpayments that may have been made to providers in error. Audits of Medicare dollars paid are on the rise, including OIG audits. Practices commonly assume that Medicare and other payers are always correct but they make mistakes too. Listen and learn 10 steps to streamline the appeals process to ensure you receive the dollars your practice is rightfully due.
Advice for practice managers and administrators when onboarding new employees or providers and bringing them into the practice culture.
Having a good compliance plan is becoming more essential, not only to meet legal and contractual requirements but also to help ensure efficient operations and financial security. For many managers in healthcare, compliance is still considered a headache, and for some, a source of real anxiety. Noncompliance poses the threat of fines, exclusion from healthcare plans (particularly Medicare), or lengthy audits and investigations that are costly and potentially damaging to reputations. Rather than expending negative energy on external regulations, practices should focus on the positive aspects of successful compliance.
In business, inquiry thinking is all about the power of asking questions in ways that OPEN UP rather than limit possibilities. In this podcast, based on an Administrative Eyecare magazine article written by Bonnie Navarre of Johnson & Johnson Vision, learn the kinds of questions that lead to possibility and which questions to avoid and hear an example of how inquiry thinking made a difference and even improved conversion rates in an ophthalmic practice.
Expert advice for ophthalmic practice administrators and their providers on assessing risk for an audit, including identification of some red flags that can trigger an audit by CMS and other payers. Includes discussion of specific eye codes and their appropriate use, as well as advice for mitigating your practice’s risk for an audit.
Building a star-studded team of talented, enthusiastic, patient-oriented, long-term employees is an admirable goal for all health care practices. However, accomplishing such a feat is challenging. While “perfect” employees are hard to find, administrators and human resources managers should never shy away from trying to load their team with all-star employees. This podcast is based on an Administrative Eyecare article written by Allan Walker, director of publications for BSM Consulting.
Expert advice for ophthalmic practice administrators and their providers on MACRA and MIPS in 2018, including the key changes in the 2018 Final Rule for the Merit-based Incentive Payment System, new details on the four MIPS categories, cataract episode-based measures and more to help your ophthalmology practice thrive in 2018.