Uncategorized

The No Surprises Act will affect patients and providers alike when it goes into effect. While the outcome is still unknown, the hope is that patients will be relieved of surprise medical bills without a change to providers’ revenue.

In split/shared billing, the physician should contribute substantively to taking care of the patient and be permitted to bill for it, even if an NPP participates, too.

Electronic claims management adoption increased by an average of 2.3 percentage points as healthcare providers shifted to remote work environments, CAQH reports.

The Biden administration will extend Medicare reimbursement to physicians for certain telehealth services through the end of 2023.

Effective April 1, 2022, hospitals will have nine new procedure codes to describe the introduction or infusion of therapeutics, including the additional COVID-19 vaccines.

Emergency medicine is facing a host of claims reimbursement updates this year, from looming Medicare payment cuts to new rules about split and critical care visits.

UnitedHealthcare has reprocessed more than 1.6 million claims for COVID-19 vaccines, reimbursing providers for underpayments that stirred controversy late last year.

Is your clearinghouse a goldmine? In other words, does your clearinghouse provide the tools and the tech to dig into the revenue cycle, accelerate cash and make your business office more efficient? Well, it should. This is a bold statement indeed but in the following series of blogs I will show you why it’s true.

The Centers for Medicare & Medicaid Services (CMS) just updated coverage policies for Rural Health Clinic payments and services. A Rural Health Clinic (RHC) is located in an underserved area with a shortage of primary care providers, personal health services, or both. Medicare pays RHCs for the provision of certain primary care and preventive health services in these underserved rural areas. Make sure your billing staff is aware of these modifications that went into effect Jan. 1, 2022.

Join NHLBI, The Heart Truth®, and organizations around the country on National Wear Red Day®, celebrated each year on the first Friday in February, to bring greater attention to heart disease as a leading cause of death for Americans. Use the poster, stickers, and social media resources below to promote Wear Red Day.