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HMOs vs PPOs

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As the owner of a new or growing medical practice, it’s important to have a strong understanding of your patient’s health insurance options. The vast majority of your patients will be enrolled in either an HMO or a PPO medical insurance plan. Understanding the differences between these two types of insurance will help you and […]

Types of Medical Insurance

Medicare And Medicaid Audits

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If your medical practice accepts Medicare and Medicaid, you may be at risk for an audit. As instances of medical fraud have risen, the government has developed 7 different types of audits to prevent overpayments, underpayments, waste and abuse in the healthcare system. Appealing a decision made as the result of an audit can be […]

What is Medicare, Medicaid, etc?

What is Fraud Investigation?

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Fraud investigation occurs when a state or Federal agency suspects a medical practice of making fraudulent mistakes in their Medicare and Medicaid billing. A fraud investigator can be hired by a private company, the FBI, or the IRS to investigate possible fraud in your practice. Fraudulent claims and patterns of erroneous medical coding are likely […]

OIG Compliance

Doctor Credentialing With Hospitals And Insurance Companies

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When Hospitals And Insurance Companies Want To Work With A Physician, They Must Engage In A Process Known As Doctor Credentialing. Doctor Credentialing Helps Hospitals And Insurance Companies Choose The Best Doctors With Whom They’d Like To Work. During The Credentialing Process, Experienced Investigators Dig Deep Into The Physician’s History, Acting As Medical Detectives. Hospitals […]

The Mystery of Doctor Credentialing

In-House Medical Transcription Vs Outsourcing

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You know your medical practice needs medical transcriptions as part of its daily operations. Medical transcriptions allow physicians to verbally record notes and patient procedures and have those recording transcribed into electronic format. But should medical transcriptions be performed in-house or outsourced to a medical transcription company? There are pros and cons to each approach. […]

The Mystery Of Medical Transcription

Life Insurance

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Life insurance is not just one more expense to add to the many expenses of running your own medical practice. It’s also not just a way to protect your family in the event of your passing. Instead, life insurance has recently become a financially sound way to protect your assets. In other words, life insurance […]

Asset Protection

What is Medicare, Medicaid, etc?

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In addition to accepting private insurance from your patients, your practice may also want to accept government-sponsored medical insurance such as Medicare and Medicaid. The two programs cover very different populations, so it’s important to understand the differences between them. Medicare offers medical insurance coverage to individuals age 65 and older as well as individuals […]

Medicare And Medicaid Audits