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"Billing Service: What Records are
Owned by You? - What Is Owned by Your
Client?" • "Big
Sentence for Medicare Fraudster"
• "NPI is Here. NPI
is Now. Are You Using It?"
• Marketing Your Medical
Billing Business Tip
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Billing Service: What Records are Owned by You? What is Owned by Your Client?
 The relationship between the physician practice and a billing service is an important and complex one. The issues are not limited to the billing service's effectiveness in collecting payments. Both the physician practice and the billing service will benefit from a clear agreement, appropriately documented, as to all aspects of their relationship, including matters relating to data ownership of medical records and termination of the relationship.
The AMA and the HBMA have put together an educational flyer on this topic.
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Big Sentence for Medicare  Fraudster
Rita Campos Ramirez, a 60-year-old Miami resident, received a 10-year prison sentence for her role in a multimillion-dollar Medicare fraud scheme. The $170 million scheme is the program's largest individual case of fraud ever. The sentence was announced Wednesday.
As part of her punishment, Ramirez will also have to hand over her three homes and a car. Plus, she was ordered to pay $105 million in restitution to the federal government.
"The sentence in this case dispels the myth that white-collar-crime defendants get off lightly," FBI Special Agent in Charge Jonathan Solomon said in a press release. "It reinforces the message that healthcare fraud-stealing from U.S. taxpayers-is a serious crime."
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NPI is Here. NPI is Now. Are You
Using It?
 CMS Will Host National NPI Roundtable on April 17, 2008. The NPI will be Required for all HIPAA Standard Transactions on May 23rd. This means:
- For all primary and secondary provider fields, only the NPI will be accepted and sent on all HIPAA electronic transactions (837I, 837P, NCPDP, DDE, 276/277, 270/271 and 835), paper claims (UB-04 and CMS-1500) and SPR remittance advice.
- The reporting of Medicare legacy identifiers in any primary or secondary provider fields will result in the rejection of the transaction.
REMINDER: May 23rd is Only a Month and a Half Away, Be Prepared!
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Marketing Your Medical Billing Business Tip
In addition to advertising your services and your business personally and indivually to prospective clients, also consider websites that will allow your prospective clients to come to them as a "clearinghouse" to search for YOU!
Would you like to receive inquiries from prospective clients seeking a quote for your services?
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