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Revenue Cycle Management
On July 10th 2024, CMS proposed a rule for Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System that would increase payments by 2.6%. The final rule on this proposal will occur in November after a 60-day comment period.
In 2022, only five of the top twenty largest independent orthopedic practices in the US were based out of midwestern states, with many practices favoring East Coast locations. However, orthopedic activity in the Midwest is growing.
The salaries of orthopedic surgeons are experiencing growth, evidenced by an upward trend over the last five years. Over this period, from 2019 to 2023, orthopedic surgeon pay grew by 12.4%.
The Centers for Medicare & Medicaid Services have made some important changes for the upcoming year that begins in 2025. As it is responsible for overseeing and implementing healthcare programs that include Medicaid, Medicare, and CHIP, and ensuring compliance within these programs, the following changes are regulatory requirements and will affect Part D of the drug benefit program.
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released final rules for the 2024 Physician Fee Schedule and Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Keep reading to learn more.
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.