Will working somewhere that requires me to enroll with Medicare cause issues for my cash practice?

Question:  I need to work at another private practice to supplement my income while building my cash practice.  The practice sees and bills Medicare under the practice’s NPI number.  They will require me to enroll as a Medicare provider to treat their patients. Will this cause any issues for my cash practice?  Will I have … Read more

Can my patient submit a claim to their supplemental insurance plan?

Q:  My patient has a Medicare Supplemental Insurance Plan.  She wants to know if she can submit her claims to the supplemental insurance plan without submitting to Medicare first. Should I give her a statement to submit? A:  Some supplemental plans may reimburse their insureds for medically necessary services provided by unenrolled providers without requiring … Read more

Advice on Superbill Content

Advice on Superbills When you agree to see a Medicare beneficiary who has elected to pay you cash instead of seeing a Medicare enrolled provider you are accepting some risk that the patient may try to submit your receipts to Medicare for reimbursement or to obtain a denial for a Medicare Supplemental Plan. If the patient … Read more

Go Daddy Smart Line – is it HIPAA Compliant?

Go Daddy Smart Line is a phone app that gives you a second line phone number so you can separate your business and personal texts and calls while carrying just one phone.  Some providers are using this app for their business line, which raises the question – is it HIPAA compliant? Even though the app is … Read more

You Tube Exercise Disclaimer

If you are posting exercise on YouTube and are looking for a disclaimer to put on the page, try this: This video is not intended as medical or professional advice.  Our YouTube exercise videos are provided for educational purposes only and are not intended to serve as medical or physical therapy advice to any individual.  Any … Read more

Medicare Rules for PT Benefits

Do you need to know what the rules are for getting PT, OT and other services covered under Medicare, including what all the billing, coding and documentation rules are?  The Medicare Benefit Policy Manual is where you need to look.  PT, OT and Speech policies are in section 220 of Chapter 15, available here.

Find your State Privacy Laws

State Privacy and Confidentiality Laws Whether you are a covered entity under HIPAA (cash practices who do not submit electronic billing transactions may not be), most states have privacy and confidentiality laws that still protect patients without regard to whether the provider bills electronically. Therefore, we recommend that providers become familiar with their state laws … Read more

Use of De-identified Testimonials

Question:  If I post a patient testimonial using only the patient’s first name and last initial, do I need to have the patient sign a HIPAA Authorization to Disclose PHI? Answer:  It depends.  You should not have to have a patient sign a HIPAA Authorization if the testimonial does not identify the patient.  Whether the … Read more