Health Insurance
Physician billing can be complicated, especially if you work with Medicare. But even commercial companies impose a Multiple Procedure Payment Reduction, or MPPR, in some instances. And although our team of experts at Healthcare Information Services know the ins and outs of how MPPR works, we want to make sure you understand this insurance procedure, and why it occurs.
The face of health insurance coverage in America is changing. While much of the attention has focused on individual Americans and the quality or extent of their coverage, Healthcare Information Services is concerned with highlighting the health insurance changes that impact the revenue cycle of our clients.
While not the first time Medicare funding has undergone revision, (and likely not the last), the “Doc Fix” bill seeks to fix a long term problem with the system. This bipartisan effort is focused on establishing more realistic funding and for Medicare, affecting both patient care and physician reimbursement. This bill is considered a long-term […]
Summary of 2015 Medicare Physician Fee Schedule (MPFS) Final Rule On October 31st, 2014 CMS released final ruling on the 2015 Medicare Physician Fee Schedule (MPFS). This is a summary of that final rule.
Eliminating claim denials is a crucial aspect to revenue cycle management. Successful healthcare providers have streamlined operations and made the revenue cycle more efficient. They understand that every step counts when it comes to securing reimbursements and obtaining revenues for their services. An operation that lacks efficiency, the necessary staff skill set or effective processes […]
With the impending switch to ICD-10, orthopedic practices must begin preparing to convert their ICD-9 codes over to ICD-10 if they want to keep their operation running smoothly and profitably with steady management of both patients and data. The Centers for Medicare & Medicaid Services has provided some helpful online resources for medical practitioners looking […]
The following considerations for revenue cycle management can help ensure the maximum revenue stream for your radiology group.
ICD-10 is not required for entities and organizations that are not covered by HIPAA, including worker’s compensation programs. However, not adopting ICD-10 and requiring a different billing method can be expected to impose significant hardships, so many worker’s compensations are voluntarily making the switch.
Medical practice costs have risen over 50% in the last decade, far outstripping the Consumer Price Index and Medicare payment rates (ama-assn.org.) More specifically, orthopedic practices are facing declines in patient numbers, reimbursements, and elective surgeries (according to beckersorthopedicandspine.com). Physicians are looking for ways to avoid making the difficult choice between reducing their practice costs and […]