Skip to navigation

Launching Your Practice

If you are ready to strike out on your own or form a new healthcare practice with other professionals, we can guide you through the process, handling the bulk of the initial details and helping you with pre-launch responsibilities.

The key to starting a successful practice is preparation, insight, goals and timelines. We will start by meeting with you and listening to your expectations. Then we will describe what needs to be done and work closely with you to help you launch a successful practice.

We will get you started and back you up.

Our initial meetings with you will include someone from our accounting staff and a member of our practice management team. Once goals and expectations have been established, we can assist you in:

  • locating a space and determining fair rent and fees
  • designing your office space for patient comfort and professional appearance
  • recommending electronic billing systems
    • act as liaison between software provider and billing staff
  • finding an experienced office manager
  • hiring and training staff
  • providing surveys of comparable practice compensation in your area
  • setting up benefit policies for you and your staff
  • establishing best practice-based patient and work flow procedures

We will work with you as closely as you desire. As challenges arise, we are prepared to help.

 

 

 

 

 

News & Notices

Important Changes to Consultations from United Healthcare

While Medicare discontinued payment allowance for consultation services (ranges 99241-99245 and 99251-99255) in January 2010, many commercial carriers have continued to cover these services. United Healthcare is now joining Medicare's opinion on consultation services.


In the June 2017 edition of the United HealthCare Bulletin, United Healthcare has announced that effective October 1, 2017, they will discontinue payment of CPT codes for consultation services.

According to UnitedHealthcare, effective October 1, 2017 it will reimburse the appropriate E/M procedure code in lieu of a consultation code. This change will align UnitedHealthcare with CMS' policies regarding payment for consultation codes.

 

 

 

PREVENTING OVERPAYMENTS FROM BECOMING FALSE CLAIMS

 

PREVENTING OVERPAYMENTS FROM BECOMING FALSE CLAIMS 
Posted: 05 Jun 2017 09:00 PM PDT
By:  Andrew Sparks
Overpayments to healthcare providers receiving Medicare reimbursements are at risk of civil and criminal enforcement action if not attuned to a particular reimbursement rule and diligent in compliance with the rule’s requirements. In short, the overpayment rule turns potential billing mistakes into fraud. A healthcare provider cannot keep money paid in error. The Government and relator bar are certain to address fully this theory of liability against every healthcare provider who ends up in litigation. If an overpayment is identified and the provider does nothing, then the provider will end up paying significantly more to the Government. It’s the proverbial pay (less for compliance) now or more (to the Government) later. Put differently, healthcare providers should address the smaller problem sooner rather than the bigger problem later.  Last year Centers for Medicare and Medicaid Services (CMS) released its Final Rule concerning overpayment procedures for Medicare Parts A and B. The Rule implements Section 6402(a) of the Affordable Care Act, which addresses the identification, reporting and repayment of overpayments. Healthcare providers reasonably should expect to see increased use of this provision in Government enforcement and whistleblower lawsuits now that the overpayment requirements have been disseminated fully throughout the healthcare community. 
Last year Centers for Medicare and Medicaid Services (CMS) released its Final Rule concerning overpayment procedures  for Medicare Parts A and B. The Rule implements Section 6402(a) of the Affordable Care Act, which addresses the identification, reporting and repayment of overpayments. Healthcare providers reasonably should expect to see increased use of this provision in Government enforcement and whistleblower lawsuits now that the overpayment requirements have been disseminated fully throughout the healthcare community.
Please read the entire article here.
 
Andrew L. Sparks is a Of Counsel in Dickinson Wright’s Lexington office. He can be reached at  859.899.8734.

 

Overpayments to healthcare providers receiving Medicare reimbursements are at risk of civil and criminal enforcement action if not attuned to a particular reimbursement rule and diligent in compliance with the rule’s requirements. In short, the overpayment rule turns potential billing mistakes into fraud. 

 Please read the entire article here: http://www.dickinson-wright.com/news-alerts/preventing-overpayments-from-becoming-false-claims

 

I-9 Compliance

 

The IRS recently announced the 2018 contribution limits for Health Savings Plans. The maximum contribution for individuals is increasing from $3,400 to $3,450 for the coming year. Those with family coverage will be able to contribute $6,900 for 2018, which is up $150 from 2017's limit. For more information, please visit the following:

The U.S. Citizenship and Immigration Services (USCIS) has announced that they have, once again, updated their Form I-9, Employment Eligibility Verification. 

Employers may download the new form here: https://www.uscis.gov/i-9 


It is mandatory that the newly updated form be used effective September 17, 2017.   Between now and then, employers may use either the newly revised form or Form I-9 with revision date of 11/14/16N.    Employers must continue following existing storage and retention rules for any previously completed Form I-9.    

 

 

 

Calendar of Events

There are no events to display in this time frame.


Designed and created by DDM Marketing & Communications.