Physicians and Medical Groups

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*offered through LarsonAllen Financial, LLC, member FINRA & SIPC

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Despite CMS Instructions, Submit Medicare Part B Claims as Usual

The Centers for Medicare & Medicaid Services are instructing health care providers to hold claims for the first 10 business days of July, for services dated after July 1. Congress’ delay on the Medicare fee schedule issue has led to this suggested hold. Continue submitting claims to carriers. More

Health Care Spending to Reach 49 Percent of GDP

by Joe White
In a January 2008 report, the Congressional Budget Office (CBO) reported that unless there is an unprecedented change in the long-term trend, health care spending will continue to significantly grow as a share of GDP over the coming decades. More

Health Care Organizations Under Renewed Audit Scrutiny

by Randy Romes
Hackers and organized crime groups are targeting health care executives in the hopes of gaining access to personal information. More

Are You Accurately Coding Medicare SNF RUG Claims?

Based on 2006 research that suggested Medicare had significantly overpaid skilled nursing facility (SNF) Resource Utilization Groups’ (RUGs) claims, the Centers for Medicare & Medicaid Services is focusing on coding accuracy to prevent overpayment. It is critical your medical records support the care you are delivering. More

Weak Collection and Bad Debt Policies Could Result in Medicare Denials

To avoid Medicare bad debt denials, health care organizations should review their bad debt policies to ensure they are abiding by the regulations outlined in the Medicare Provider Reimbursement Manual. More

Strengthen Your Security Strategy Prior to Onset of HIPAA Regulators

To address threats to health care data and information system vulnerabilities, the government is gearing up to conduct HIPAA security audits in 2008. How would your hospital hold up if audited or attacked by criminals? Don’t wait to find out. More

SAS 104-111: Preparing for Your Auditors Can Minimize Fee Increases

Eight new risk assessment standards (SAS 104-111) go into effect for financial statement audit periods beginning on or after December 15, 2006. The new standards widely expand and change the audit process for privately-held entities. Are you prepared for your auditors? It’s not too late to begin preparing for June year-end audits. More

Audit Committees' Responsibility for Managing Risk

Learn about the increasing risk management responsibilities of audit committees, potential consequences of ineffective risk management programs, and training for nonprofit audit and compliance committee members, boards, CEOs, and CFOs.

OIG Work Plan Reveals Targeted Risk Areas for 2008

The Department of Health and Human Services (HHS) and the Office of Inspector General (OIG) have issued the OIG Work Plan for fiscal year 2008. Health care organizations participating in federally funded programs should dissect the plan to determine their compliance in the targeted areas for audits, evaluations, and inspections. More

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