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The Dark Side of Medicare Advantage Plans

Nurse Practitioners in Business

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

Medicare 397
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What you need to understand about Medicare cuts

Nurse Practitioners in Business

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” In fact, at 66 years old, I am a beneficiary of Medicare Part B and a Medigap plan. And many have strong opinions on this.

Medicare 221
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Don’t Let Tax Season Sneak Up: Use This Checklist

Nurse Practitioners in Business

Ensure Payroll Tax Compliance: If you have employees, make sure payroll taxes (Social Security, Medicare, and unemployment taxes) are withheld and remitted. 2 Make Sure All Income is Accounted For Take extra care to ensure all revenue sources are appropriately accounted for. If you come across errors, correct them without delay.

Business 286
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Do You Worry About Getting Audited?

Nurse Practitioners in Business

So basically…are you doing everything you should be doing, not only in the types of care you are providing but also in the business aspect of your practice? Are you providing quality care and in compliance with standards of care? They can be educational and help you improve the quality of care you deliver and your business.

Business 370
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Fraud, Waste, and Abuse (FWA) Refresher Training

American Medical Compliance

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. Whether you provide direct patient care or administrative services, your role in detecting, correcting, and preventing FWA is crucial.

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CPD made easy – The experts’ guide to continuing professional development

Nursing Review

Nurses are in every part of our health and aged care system we see people at the beginning of life, and at the end, and everything in between, Professor McMillan said. Nurses are in every part of our health and aged care system we see people at the beginning of life, and at the end, and everything in between, Professor McMillan said.

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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. However, Cooley explains that the report is “intended to be used as a guide for a hospice provider to self-monitor and self-correct if necessary.”. What Information Does PEPPER Provide?