Breakthrough Coaching

Blog — Page 16

Practice management, team development, and multidisciplinary care.

390 articles · Page 16 of 20

HHS Finalizes Merit-Based Incentive Payment System (MIPS)

On October 14, HHS finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program. The new Quality Payment Program will gradually transform Medicare payments for more than 600,000 clinicians across the country, and is a major step in improving care across the entire health care system.

Increased False Claims Act penalties effective August 1

As of August 1, 2016, False Claims Act civil penalties increase to between $10,781.40 and $21,562.80 per claim, plus three times the amount of damages that the federal government sustains because of the false claim. It is important to note that when False Claims Act penalties increase, so do the financial rewards for whistleblowers, increasing their incentive to allege false or fraudulent claims.

Nominations Open for Chiropractor of the Year & Practice Challenge

Each year we honor the Chiropractor and Chiropractic Practice Team Member of the year at our November seminar in Orlando. We consider them the highest honors Breakthrough Coaching has to offer. This year we will hold our event at SeaWorld and so it will be an extra special time with family, friends, and fun. We are opening nominations today for both of our awards.

The 60 Day CMS Overpayment Rule

On February 11, 2016, the Center for Medicare and Medicaid Services (CMS) issued the final overpayment rule commonly referred to as the “60 Day Rule”.

May is National Correct Posture Month

Correct Posture Month encourages people to think about how posture can affect their overall health. Posture refers to the position a person’s body is in while they are sitting or standing. Use the Breakthrough Coaching 7 Step Posture Check (Form M273) in your presentations and screenings to help improve referrals and new patients.

SCOPE MODERNIZATION DISCUSSION DOCUMENT

As the next stakeholder in this important process, the NYSCA is pleased to share this Scope Modernization Discussion Document and Draft with you, along with Frequently Asked Questions . The Scope Modernization committee welcomes your feedback, which can be submitted by emailing modernization@nysca. com .

2016 Flexible Spending Account Deadline

CONSUMERS who have a flexible health care spending account at work need to double-check their employer’s rules to see if they have an important deadline coming up.

ACA Launches National Campaign for Medicare Equality

The American Chiropractic Association (ACA) has launched a national petition to generate support for expanded access to and reimbursement for chiropractic services for Medicare beneficiaries. The National Medicare Equality Petition is raising awareness of how the current Medicare system shortchanges seniors who want and need the essential services provided by doctors of chiropractic (DCs) to stay healthy, pain free and mobile.

The Merit-Based Incentive Payment System

Last year, the MACRA bill was signed into law and in the pages of minutiae and legal language, it was outlined what would happen to meaningful use. Basically, the PQRS (Physician Quality Reporting System) and MU would be joined into one and give birth to MIPS (Merit-Based Incentive Payment System). Under the new program, doctors are required to report clinical information as well as IT data.

Stay Up to Date! New 2016 CPT® Codes

CPT® has made some changes to a few commonly billed X-ray codes. According to CPT®, this includes “a new family of six bundled codes (73501-73503, 73521-73523) for hip and pelvis radiologic examination.” Also included are thoracolumbar procedures with four new codes (72081-72084). Find out which codes were deleted here .

Denials Reported on Bills by Sole Proprietors/Practitioners

Some sole proprietors and some incorporated sole practitioners are reporting being denied reimbursement because they are not billing as a group (business) in field 33. Although an official explanation has not been obtained that describes what is occurring, this appears to involve the need for a second NPI number.

Internet Explorer Users Must Upgrade

On January 12, 2016 , Microsoft is officially dropping support for all but the latest version of Internet Explorer. For a surprisingly high number of laggards, it’s time to upgrade or face a world of hurt. So what’s holding them back?