By Kerin Draak The International Statistical Classification of Diseases and Related Health Problems, commonly referred to as ICD, is the international diagnosis classification set that ...
Read More »The HEALTH Act Brings Protection Back to Patients
By Congressman Phil Gingrey, M.D. (GA-11) It is estimated that one in every ten dollars spent within the health care system will be used on ...
Read More »Rethinking the Decision to be a Participating Provider
By Franklin J. Rooks Jr., PT, MBA, Esq. Introduction As many physicians have concluded, out-of-network insurance benefits pay better than the prevailing in-network rates. Some ...
Read More »Preparing for the Future of Healthcare in New Jersey: Can Physicians Emerge as Leaders?
By Patricia A. Costante Uncertainty has defined the healthcare industry ever since President Barack Obama won the 2008 election and pledged to help the uninsured ...
Read More »HITECH Compliance Is About Business Process, Not Technology
By Ron Nelson For years, HIPAA insisted on data privacy and security protections—and for years, those same requirements were ignored with relative impunity. Last year’s ...
Read More »Indemnification, Insurance and Medical Injury Reimbursement in Clinical Trial Agreements
By Martha Swartz, M.S.S., J.D. As the number of clinical trials increase and physicians’ revenue declines, a growing number of physicians are considering participating in ...
Read More »Proposed Physician Fee Schedule Update Implements Key Reform Provisions
By: Esther Chang, et. al. The Centers for Medicare & Medicaid Services (CMS) published its annual regulatory update to the Medicare Physician Fee Schedule (the ...
Read More »Medical Necessity: A Clinician’s Perspective
By Glenn Krauss The concept of medical necessity is all too familiar to most physicians in their daily practice of medicine, particularly in the routine ...
Read More »Beware: Medical Necessity Denials Are Costing You Money!
By Dena K. Mallin, CPC, PCS Over the last several months we have seen a continued rise in the denial rate for lack of medical ...
Read More »Einstein-Montgomery Partnership Builds New Medical Center
By Richard Montalbano For the first time in more than a decade, southeastern Pennsylvania will become the home of a new, state-of-the-art medical center. Through ...
Read More »