A step-by-step medical coding audit process for independent practices: how many charts to pull, how to score them, what to do about findings, and what the OIG guidance actually says.
Incident to billing lets a practice bill an advanced practice provider visit under the physician NPI at 100 percent. Here are the seven Medicare requirements, the January 2026 virtual supervision change, and the payer nuance that changes the math.
MIPS reporting is how eligible medical practices submit quality, cost, and clinical-improvement data to Medicare’s Quality Payment Program each year, and it directly affects your Medicare Part B reimbursement. Under the Merit-based Incentive Payment System (MIPS), Medicare scores your practice from 0 to 100 across four performance categories. Score at or above the annual performance…
What the No Surprises Act requires of medical practices in 2026: balance-billing bans, Good Faith Estimates, disclosure notices, penalties, and 7 steps to compliance.
A plain-English guide to Stark Law compliance and the Anti-Kickback Statute for medical practices.
OSHA compliance for medical practices means meeting the Occupational Safety and Health Administration (OSHA) standards that protect your employees from on-the-job hazards. For a medical or dental office, it comes down to a short list of rules: a written Bloodborne Pathogens exposure control plan, a Hazard Communication program for your chemicals, annual employee training, the…
HIPAA compliance consulting is a professional service that helps a medical practice meet the privacy and security obligations of the Health Insurance Portability and Accountability Act, pass a federal audit, and protect patient data from breaches. In practical terms, a consultant runs a security risk analysis, writes the policies regulators expect to see, trains your…
A medical practice compliance program is the written set of standards, training, auditing, and corrective-action procedures that keeps a practice inside federal and state rules. The HHS Office of Inspector General defines seven elements every effective program must have, and a missing element is usually what turns a routine audit into an expensive one. This…
