Physician’s Payment Update 2000 Index
Billing
Billing industry challenges critical GAO study, JUL:105
Bogus billers can leave physicians on the hook, JUN:83
Follow these three steps to revive billing, collections, SEP:137
New insurance offered for billing risks, MAR:41
OIG: Third-party billing procedures rife with holes, JUN:83
Supervision may increase for third-party billers, JUN:82
Tips on structuring a billing arrangement, JUL:107
Capitation
Capitation audits check payers’ accuracy, integrity, MAR:44
Capitation audits keep HMOs more honest, SEP:127
HCFA delivers: Risk adjustment for capitation, APR:55
HCFA issues new rule on Medicare capitation, SEP:139
HMOs pushing specialists to sign up for capitation, OCT:145
HMOs using a combo of physician pay plans, AUG:121
Is capitation losing some of its allure?, JUL:98
Is capitation regaining its lost momentum?, NOV:169
When capitation gets raw, try CHF best practices’, JUN:91
Claims
Claim problems bugging you? You can avoid them, FEB:19
How to hunt down lost paper claims, FEB:21
OIG to review claims software, AUG:118
Want your claims money faster? Take a ride on the electronic highway, MAY:65
Compliance
Admitting your failures can avoid federal snares, NOV:158
Compliance guidelines will cover physicians, JAN:14
Compliance plan helps, but other risk areas lurk, AUG:110
Five key questions auditors likely will ask, AUG:113
OIG gives physician groups a reprieve by modifying final compliance plan, NOV:157
OIG preparing to provide guidance with model compliance plan, FEB: 17
Providers lobbying OIG for changes in small practice compliance guidelines, OCT:141
Small practice compliance plan offers guidance and some flexibility, JUL:93
The compliance guidelines at a glance, AUG:112
Watch for these red flags in your compliance work, OCT:148
Contracting
10 tips to get the best integration agreement, SEP:135
Avoid the consternation of all-products’ clauses, SEP:129
Doctor wins battle over exclusive contracts, JUL:105
Physicians feel fallout as hospitals nix HMO contracts, OCT:145
Fraud and Abuse
Anchor your rental deals in approved safe harbors, APR:52
Check the OIG work plan for insights on areas to shore up for 2001, DEC:173
Develop a plan to handle investigative intrusions, DEC:176
Discounted pathology services may violate law, FEB:27
Feds open data bank to help boost quality, MAR:42
HCFA may get tougher in disputed payment talks, JUN:84
Hearing sought to soften feds’ investigative zeal, FEB:22
How to waive fees and avoid legal trouble, DEC:178
Investigators increase focus on kickbacks, JUL:94
New exemptions broaden anti-kickback laws, JAN:5
OIG fraud alert targets space rental agreements, APR:51
OIG: No upfront rebates, SEP:129
OIG offers clarifications on existing safe harbors, FEB:29
OIG offers safe harbor for rental agreements, JUL:96
OIG says Medicare is overpaying MCOs, MAR:47
Review areas outlined for Part A units, DEC:174
Review your space rental agreements, JUL:97
Tips for avoiding a Medicare audit, DEC:174
What new safe harbor rules mean for practices, FEB:27
What to do if the feds have overpaid you, FEB:21
Health Care Financing Administration
Changes being sought to simplify Medicare, OCT:142
Feds continue probe of selling free drug samples, JUN:95
Feds ease hassle factor but not get-tough stance, MAY:68
Fee rule clarifies site-of-service policy, JAN:3
Final rule fallout: The good and the bad, JAN:2
Form 855 changes would ease red tape, DEC:183
HCFA considering changes to Form 855, APR: 59
HCFA focusing attention on benefit claim checks, MAR:38
HCFA looks at standardizing rules among local carrier networks, JUN:81
HCFA: Medicare+Choice enrollment is dropping, JUN:86
HCFA offers reassurance about hospice certification, DEC:183
HCFA releases new member count rules, MAR:46
HCFA sets new rules on evaluating contractors, FEB:31
Medicare HMO rates in for a reshuffling, MAR:37
Payment rules relaxed for physician extenders, JAN:5
Pressure is building for more preventive care, MAR:37
Proposed rule would speed appeal process, FEB:20
Suspicions arise that HCFA is using reduced RVUs to downgrade payments, JAN:1
Health Insurance Portability and Accountability Act
HIPAA may be a pain but could produce a gain, JAN:13
Y2K may be history, but HIPAA looms, JAN:12
Physician’s Coding Strategist
ABCs of APCs: Primer for the new system, MAY:71
APC implementation delays appear to be over, FEB:24
Chain-of-command approach boosts accuracy, JAN:10
Confused about modifiers? Don’t fret, you’re not alone, NOV:163
Consultation vs. office visit: Know the difference, AUG:115
Dissecting the year 2001 physician fee schedule, SEP:131
Government report cites DRG 014 overpayments, FEB:26
HCFA announces reimbursement changes, JAN:8
HCFA data now available for benchmarking E&M, SEP:133
HCFA policies on codes, pacemaker draw questions, SEP:131
How are you using your observation codes?, FEB:25
How coding reviews could save you $30 million, DEC:181
Involve doctors and coders in improving outcomes, JUL:99
It’s time to think about modifier 25 changes, JAN:7
MedPAC expected to frame next stage of E/M debate, FEB:23
Mine the patient history for vital chart data, DEC:179
New CPT codes took effect July 1, AUG:116
New insurance offered for billing risks, MAR:41
New rules apply to office visits, consultations, MAR:39
Outpatient payments rise under final PPS rule, JUN:87
Pick an E/M guideline and stick with it, DEC:181
Time can play a role in new guidelines, MAR:40
Practice management
Advice on structuring small-group pay plans, AUG:114
Better financial controls put muscle into practice, OCT:146
Carriers told to focus on two CPT codes, NOV:165
Do hospital docs slack off? Latest data say no, MAY:75
Dodge the legal mess of a without-cause’ firing, SEP:130
Following HCFA rules eases head count woes, SEP:128
It’s time to update your internal coding guides, NOV:165
Key holes to plug in the verification process, MAY:69
Key issues to consider for a solid compensation plan, APR:53
New Web site offers access to database, NOV:164
Physician compensation: The carrot vs. the stick, MAR:35
Raising needed capital through a tithing’ system, JUN:85
Will new APC system hinder some practices?, OCT:143
Reimbursement
Are your payers looking for suitors? Don’t be the one left heartsick, APR:49
Be upfront with patients about payment incentives, APR:54
Court ruling gives physicians a peek into HMO rate-setting methodology, SEP:125
E/M coding still confusion under final outpatient PPS, AUG:116
HCFA bends same-day rule for cancer patients, APR:60
New evaluation guidelines draw praise for minimizing counting’ methods, JUL:109
New PPS system carries requalification clause, JUL:103
Persistence and a good system can boost your payment rates, MAR:33
Telemedicine payments are gaining ground, NOV:167
RVUs
Benchmarking role grows with move to RVUs, MAR:43
Suspicions arise that HCFA is using reduced RVUs to downgrade payments, JAN:1
RUVs made simple, or at least understandable, OCT:151
You can use RVUs to set and revise practice fees, JAN:4
Technology
Aetna budges on some rigid capitation issues, DEC:186
Avoid relationship roles in your Web site practice, DEC:185
Best use of the Internet? Save time and money, MAY:66
Coding method links electronic medical records, OCT:147
Cyber signatures arrive, but are they a good idea?, OCT:154
Diabetic test could aid telemedicine payments, JUN:93
Half of all HMOs lost money last year, NOV:161
HCFA adopts formats for electronic transactions, OCT:153
Internet sites let doctors make bids on procedures, JAN:11
Look before you leap into practicing via e-mail, DEC:184
Telemedicine payments are gaining ground, NOV:167
Use of e-mail grows as a patient satisfier, NOV:161
Using the Internet cuts costs, boosts cash flow, MAY:67
Want your claims money faster? Take a ride on the electronic highway, MAY:65
Your Web site can bring trouble with fraud laws, OCT:152
Trends
Alliance bases incentives on health, not savings, NOV:162
Clinton’s budget plan to shape health care debate, APR:61
Good outlook for some HMOS; others may struggle, APR:50
HMO group pledges friendlier times ahead, SEP:126
Lenders reject practices as good loan prospect, JUN:94
Mergers and acquisitions reverse trend and rise, OCT:155.
MGMA voices concerns about 2001 budget plan, MAY:76
Oklahoma doctors building their own 42-bed hospital, AUG:121
Patients dumping doctors in record numbers, NOV:160
Primary care doctors offer truck to surgeons, APR:6
Questions raised about open physician data bank, MAY:78
Racketeering lawsuits become way to fight HMOs, NOV:168
Rising health care costs are changing the market, OCT:144
Tips for surviving shift to empowered consumers, FEB:32
Two virtual HMOs’ prepare for launch, AUG:119
Underserved area bonuses getting critical review, APR:61
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