News Updates

Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration)

Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 through December 31, 2020.

Upcoming Medical Webinar Schedule

ALL WEBINARS ARE 11:00 AM – 12:00 PM PST.

Our "Insurance Strategies and Compliance" webinar series is designed for all providers that that bill commercial and government insurance carriers. We teach you how to effectively and efficiently deal with insurance companies to ensure maximum payment. You will learn how to fix the most common issues providers deal with daily. Learn how to save time and money and to STOP losing money that is rightfully owed to you!!

Tenet Healthcare and Affiliated California Hospital to Pay $1.41 Million to Settle False Claims Act Allegations for Implanting Unnecessary Cardiac Monitors

Tenet Healthcare Corporation and its affiliated hospital Desert Regional Medical Center (DRMC), a general medical and surgical hospital located in Palm Springs, California, have agreed to pay $1.41 million to resolve allegations that they violated the False Claims Act by knowingly charging Medicare for implanting unnecessary cardiac monitors, the Justice Department announced Tuesday.

Updated Dental Webinar Schedule

NPCC WEBINAR SCHEDULE

ALL WEBINARS ARE 11:00 AM – 12:00 PM PST. 

DENTAL BILLING MEDICAL

San Diego Eye Doctors Pay $950,000 to Settle Medicare Billing Fraud Allegations

SAN DIEGO – Mark D. Smith and Fane Robinson, two San Diego-area physicians, have paid the United States $948,768.18 to resolve allegations that they violated the federal False Claims Act by knowingly submitting false claims to Medicare.

Dr. Smith and Dr. Robinson are medical doctors specializing in ophthalmology.  They maintain a medical practice in San Diego known as San Diego Retina Associates and are participating providers in federally-funded health care programs including Medicare.

ADA files class-action lawsuit against Delta Dental

November 27, 2019 -- The American Dental Association (ADA) has announced that it has filed a class-action lawsuit against Delta Dental plans and the Delta Dental Plans Association. 

Delta Dental demands repayment after a system error overpaid crown procedure claims, CDA says

Written by Gabrielle Masson | November 13, 2019 | 

2020 Medicare & Private Insurance Changes and Updates Live Webinar Series

If you are unable to attend our live conferences, register for our upcoming webinar series. During three one-hour interactive webinars, you will learn:

2020 Medicare Changes and Updates

  2020 Fee Schedule Payment Changes and Updates

Webinar Schedule

Our medical billing webinar series is designed to teach you the most important aspects of medical billing: diagnosis codes, procedure codes, preauthorizations, and the CMS claim form. Even the most seasoned dental biller can find billing medical insurance to be daunting at first! Let us teach you during our interactive webinars. You have the opportunity to ask questions during the webinar so that you don’t get lost AND 30 days after each session to watch it as many times as you need! If you are unable to participate on the day of the webinar, register anyway.

Trump’s New Order For Medicare Packs Potential Rise In Patients’ Costs

Julie Appleby, Kaiser Health News

Vowing to protect Medicare with “every ounce of strength,” President Donald Trump last week spoke to a cheering crowd in Florida. But his executive order released shortly afterward includes provisions that could significantly alter key pillars of the program by making it easier for beneficiaries and doctors to opt out.