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MiraMed’s eAlerts are distributed via email every Wednesday, and contains the latest industry information regarding business process outsourcing solutions, helpful coding news, or any number of relevant topics in the fast-paced, ever-evolving world of healthcare. To subscribe, simply complete the form below. Below the subscription form, you will find the archived eAlerts available.

January 16,2013

In its most recent Advisory Opinion (No. 12-22), the Office of Inspector General (OIG) viewed favorably an arrangement wherein a cardiology group’s compensation from the hospital comprised, in part, a performance-based bonus (Arrangement).  The performance bonus is based on certain patient service, quality and cost savings measures associated with procedures performed at the hospital’s cardiac catheterization laboratories. 

Read more: Hospital Payments of Performance-Based Bonuses to Physician Groups Viewed Favorably by OIG

January 9, 2013

While 2012 left the healthcare world spinning, 2013 does not show promise of slowing down anytime soon.  As healthcare providers position themselves for a new year, they should bear in mind some of the following, which are expected to send waves through the industry this year.

Read more: 2013: What to Expect on the Road Ahead

January 2, 2013

ICD-10 implementation and the need for preparation has been discussed for years. However, the repeated delays in deadlines for the transition from ICD-9 has provided the false sense of security that it is possible to continue to postpone the steps necessary for implementation. Due to the complexity of ICD-10 implementation and the time necessary to coordinate the steps for a successful go-live date by October 1, 2014, organizations cannot wait to see if the Department of Health and Human Services (“HHS”) will again postpone the ICD-10 deadline.

Read more: ICD-10—Despite Delays in the Implementation Deadline, Planning and Preparation Now Are Key to...

December 26, 2012

The issue of “incident to” billing arises when physicians and certain other practitioners seek to be paid for services that are furnished incident to their services.  The purpose of this alert is to review the requirements for incident-to billing both in the non-institutional and institutional settings.

Read more: Incident-To Services: A Recap

December 19, 2012

Understanding what to do when a patient presents with multiple payers can be an administrative and billing nightmare.  Fortunately, the Centers for Medicare and Medicaid Services (CMS) recently issued a Medicare Learning Network Fact Sheet entitled Medicare Secondary Payer for Provider, Physician, and Other Supplier Billing Staff wherein it clarified billing for services furnished to patients that have health insurance coverage in addition to Medicare.

Read more: Medicare Secondary Payer—Navigating the Trenches

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