Healthcare
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.
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.
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.
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.
If you are involved in the healthcare industry, you are well aware of the prevalence of scope of practice laws, or SOPs. These laws define and specify the tasks (including procedures, actions, and processes) that healthcare providers at different levels can perform. These laws also govern the level of oversight required for specific tasks, and […]
Navigating the patient revenue cycle is something that all Orthopedic practices must become proficient in to gain a profit. When steps of this process are overlooked or done incorrectly, healthcare providers may face decreased profitability and reimbursement for the services they provide. HIS is proud to partner with Health iPass, a system designed to optimize the patient revenue cycle and ensure that orthopedic providers collect all owed revenue from patients.
Is your medical practice experiencing an abundance of denied medical claims? Typically, a claim is denied if it is incomplete or missing information that is required for a claim to be processed, or a claim that contains incorrect information.
CMS Will End the ICD-10 Grace Period on October 1, 2016 Are you ready? The Centers for Medicare & Medicaid Services (CMS) have announced that the grace period for healthcare providers is to expire October 1st, 2016.
Recently, I was asked the question “We are wondering what sets your company apart from other billing/revenue cycle companies such as Athena. We have been comparing EMRs and some have the billing side as well. We would like to know if we are comparing Apples to Apples.” I love when we are asked that question, in […]
Medical practices, including radiologists and orthopedic surgeons, are facing numerous challenges in 2015 as the entire healthcare industry debates the benefits of volume-based care versus value-based care. The current volume-based reimbursement model has faced controversy over the idea that doctors may be over-treating patients as a way to generate additional income or in an attempt to keep up with lowered reimbursements. This has created an ethical and financial dilemma for practices who want to be reimbursed at a rate that can keep their doors open, but without over-treating patients or increasing the volume of patients to unmanageable levels. The move from the volume-based to a value-based model is supposed to be a step toward resolving these concerns, but it also raises six critical issues when comparing the two models.
Revenue Cycle Management (RCM) is a necessary piece of the healthcare puzzle and it remains an integral part of the success of any healthcare business. When a clinic outsources the management of their revenue cycle, they entrust an outside company to handle coding, claim submission, collections, et al. Some practices choose outsourcing RCM due to […]
October 1st, 2015 marked the official transition of the long anticipated ICD-10 coding guidelines going into effect. While there was no “transition period”, medical practitioners were told well in advance that they would have to completely make the change to ICD-10 by the first of October 2015. Hospitals and medical practices all over the United […]