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Revenue Cycle Management
Managing a revenue cycle in the medical field is no easy task. Below are some concerns for orthopedic practices and recommendations for monitoring the health of your revenue cycle.
Always Ensure Accurate and Compliant Billing and Coding When managing a medical practice, you undoubtedly have several things to worry about at any given time. Medical billing and coding is difficult to keep up with, especially with evolving laws, regulations, and medical codes. These changes make it difficult to be compliant even for the most […]
Maintaining your medical billing management internally may seem to be a good choice for your practice, many providers feel keeping billing “in house” allows them more control over both coding and billing.
This is the latest information by the insurance companies updated August 3rd, 2020.
We will be reviewing insurance carrier information each business day and update when applicable. These policies change constantly so we have included the websites for reference.
The Centers for Medicare and Medicaid Services (CMS) recently implemented major changes to the Stark Law regulations, most of which are already in place.
As of March 1st, 2021, UnitedHealthcare has made several updates to their reimbursement policy for Advanced Practice Health Care Providers. The previous policy change was made on April 13th, 2020 when the word “Commercial” was added to the policy header.
After some delay due to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has released the final set of guidelines that will govern the Medicare payment system for 2021.
The new documentation guidelines for office and outpatient visits go into effect on January 1, 2021. The level of service will now be determined by new guidelines, and you will have the choice of time or medical decision making.
Radiologists and healthcare providers of all kinds should always prioritize their awareness of illnesses or injuries that have begun to occur more frequently, whether the instances are being described as an “outbreak” or just as a trend that is increasing over time.
We are undeniably in uncertain times and uncharted territories. The medical world and the world at large has been thrown into upheaval in an attempt to weather and survive the COVID19 pandemic. Arguably, no industry has been affected more so than the medical industry
For those who work in the healthcare industry, surprise billing is not a new concept. This practice impacts patients seeking all types of medical attention, and has been a topic of discussion among lawmakers in recent months.
As we are sure most healthcare providers come to expect, each new year brings new changes to codes, payment policies, and processes in the healthcare industry. On November 1st, CMS announced upcoming changes to payment policies, which were detailed in its 2020 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule.
We have received many inquiries on the reporting of telehealth codes due to CMS reducing the restrictions on telehealth services. As of today, these reductions are available for the diagnosis and treatment of any conditions and/or diseases retroactive to March 6, 2020.