Pediatric allergy services have been on the radar of third-party payer investigations because they have found that many practices incorrectly code and bill for these services. Horizon Blue Cross Blue… [Read More]
Hefty Medical Record Release Fines: What You Didn’t Know Could Cost You
I bet you thought you knew how to process medical record requests. However, the Office for Civil Rights (OCR) takes patient complaints and any deviation from the laws/regulations very seriously…. [Read More]
Changes to Medicinal Marijuana in New Jersey (June 2019)
There are currently 46,300 patients, 950 doctors, and 1,850 caregivers participating in the NJ Medicinal Marijuana Program (NJMMP). In an effort to expand the NJMMP to more NJ residents in… [Read More]
Medical Record Release & Retention Rules
Physicians and patients alike have questions regarding medical record release and retention. Physicians may “own” the medical record physical paper or the Electronic Health Record (EHR) system; however, the patient… [Read More]
Non-Physician Practitioner Billing: How to Avoid a Billing Audit
Medical Billing Audits performed by Medicare, Medicaid, and commercial payers have significantly increased in frequency in recent years and will continue for the foreseeable future. No specialty is immune from… [Read More]
Aid in Dying for the Terminally Ill Act
On April 12, 2019, Governor Murphy signed into law the Aid in Dying for the Terminally Ill Act (the “Act”), which will become effective on August 1, 2019. NJ has… [Read More]
New Jersey’s Out-of-Network Law
On Friday, June 1, 2018 New Jersey Governor Phil Murphy signed into law the “Out of Network Consumer Protection, Transparency, Cost Containment and Accountability Act,” A2039. (“The Act”). It will… [Read More]
Healthcare Provider Texting: FAQs
What is PHI? Protected Health Information (PHI or ePHI) is defined as “any information about health status, provision of health care, or payment for health care that can be linked… [Read More]
Caring for Patients with Limited English Proficiency
LIMITED ENGLISH PROFICIENCY PATIENTS: YOUR OFFICE’S LEGAL RESPONSIBILITIES The Conventus Practice Advice Line has experienced an uptick in practices calling and asking, “What is our responsibility in providing interpreters for… [Read More]
HIPAA Breach Part I: Business Associate Agreement
NJ Physician Group Fined $417,000 for HIPAA Security Breach Part I: Business Associates Physician practices are considered “Covered Entities” (CE) under the Health Insurance Portability and Accountability Act (HIPAA) Law… [Read More]
