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Archived Issues
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2006-4 April
April 13, 2006
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2006-3 March
April 2, 2006
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2006-2 February
February 18, 2006
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2006-1 January
January 31, 2006
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2005-12 December
January 10, 2006
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2005-11 November
December 10, 2005
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2005-10 October
November 30, 2005
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2005-9 September
October 26, 2005
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2005-8 August
September 5, 2005
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2005-7 July
July 29, 2005
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[MORE]
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Business Planning for Medical Practices
The demand of the marketplace is causing ongoing changes in the medical industry. These changes may cause old beliefs about how medicine should be practiced to become obsolete. Physicians must therefore pay attention to the business aspects of a medical practice.
[FULL STORY]
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Accrual Basis Taxpayers & Contractual Allowances
In a recent Technical Advice Memorandum, accrual basis taxpayer may exclude “contractual allowances” from total receivables in determining gross income if there exists, at the time service is performed or good is provided, legally enforceable contract providing that payor incurs liability for any particular service/good in amount less than standard billed charge for same service/good.
[FULL STORY]
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CMS Proposes Sweeping Hospital Payment Reforms
In April of this year, the Centers for Medicare and Medicaid Services (CMS) proposed sweeping hospital payment reforms that could start to phase in as early as this October. In this article by Kathy Poppitt of Thompson & Knight, virtually all hospitals will be affected but specialty hospitals, particularly those specializing in cardiac and orthopedic surgery will see the most dramatic changes.
[FULL STORY]
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Medicare's National Provider Identification Number
The NPI will replace the provider identification numbers that providers use today in the HIPAA standard transactions that they conduct with health plans. Those transactions include the electronic claim, eligibility inquiry and response, claim status inquiry and response, payment and RA, prior authorization/referral, and COB transactions. Providers who conduct any of those electronic transactions must obtain their NPIs and be ready to use them to identify themselves, and possibly other providers, in those transactions before May 23, 2007. Providers and suppliers are required to include their NPI on the 04/2006 version of the CMS-855 Medicare enrollment application when they apply to enroll in Medicare. CMS urges all providers to visit their Web site and become familiar with the NPI and how it will be used. CMS also encourages all organizations and associations to inform their members about the need to obtain, test, and use the NPI.
Get your NPI now. Go to www.nppes.cms.hhs.gov/nppes and follow the prompts. Most providers get their NPIs the same day.
DON'T DELAY...........
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