Updates & Tips

February 7, 2020

Yesterday we saw another $1.2 million dollar enforcement against a provider inappropriately using Modifier -25. At some point we need to put this issue to bed. We are far past the days where providers can stick their head in the sand and say "I didn't know". Dwindling are the days of "pay and chase". Many plans are putting providers on prepayment review w...

February 5, 2020

There is probably no better advice than to follow your intuition. If it sounds too good to be true, or just doesn't feel "right" heed that warning. Before you invest in purchasing equipment, expanding your office suite, and going through "training" conduct some due diligence. It is unlikely that a vendor will share responsibility if things go wrong. It is...

February 1, 2020

I feel like I need a pair of boots and a shovel after all the disturbing healthcare fraud related news I've read this week. Unfortunately, many believe that it is a "victim-less" crime. The truth is, we are all victims. Every time we pay our premiums.

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