Category: Blog

Recovering Revenue During COVID-19

Recovering Revenue During COVID-19

The early eruption of the coronavirus prompted the federal government to urge a widespread halt of elective procedures in hopes of slowing the viral spread. For radiologists, this caused a massive decline in routine exams, which can result in a 40 percent-to-60 percent loss in revenue. Evolving health policies and industry environments keep revenue cycle […]
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Medicare Payment Rates for COVID-19 Test CPT Codes

CMS Releases Medicare Payment Rates for COVID-19 Test CPT Codes

Medicare payment rates for CPT codes 87635, 86769, and 86328 range from $42.13 to $51.31, CMS recently announced. CMS recently revealed how much it will pay for new Current Procedural Terminology (CPT) codes developed by the American Medical Association (AMA) for COVID-19 diagnostic tests. The guidance previously detailed Medicare payment rates for Healthcare Common Procedure […]
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COVID-19 Reimbursement

Safeguarding COVID-19 Reimbursement

Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment, apart from timelines and state […]
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Patient-Friendly Medical Billing to a COVID-19 World

Adapting Patient-Friendly Medical Billing to a COVID-19 World

Monument Health in South Dakota is adapting to a new definition of patient-friendly medical billing as COVID-19 transforms patient needs and their ability pay for healthcare. Patient financial responsibility has been impacting the hospital revenue cycle far before the world knew what COVID-19 was. But the unprecedented public health crisis has shed new light on patient-friendly […]
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4 Revenue Cycle Initiatives Fast-Tracked by COVID-19

4 Revenue Cycle Initiatives Fast-Tracked by COVID-19

  Projects on the backburner, like having a remote workforce, paperless patient communications, and electronic signatures, have been implemented faster out of necessity. For years, revenue cycle executives have talked about modernization wants and needs. But in many healthcare organizations, a lack of time, money, or will—or all three—have stood in the way of moving […]
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IPPS Proposed Rule_ Proposes Increased Payment Rates

2021 IPPS Proposed Rule: CMS Proposes Increased Payment Rates

According to the proposed rule, CMS projects total Medicare spending on inpatient hospital services, including capital, will increase by about $2.07 billion in FY 2021. CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, includes a proposed increase to hospital payment rates, the creation of a new Medicare-Severity Diagnosis-Related Group […]
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IPPS Proposed Rule_ Proposes Increased Payment Rates

Medicare Telehealth Coding as of April 30

Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Services (CMS) kindly dropped another bomb on us: more temporary policy changes during the public health emergency for COVID-19. We may have this all sorted out just […]
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Medical Billing for Telehealth During COVID-19

Medical Billing for Telehealth During COVID-19

COVID-19 is changing the way we practice medicine. Social distancing measures have led to a surge in demand for telemedicine, while practices around the country are seeing a reduced number of in-office patient visits. While the regulatory environment has not always been favorable towards telehealth, federal and state legislations have recently loosened in an effort […]
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Coding in Age of COVID-19_ Deciphering Coding Nuances, Best Practices

Coding in Age of COVID-19: Deciphering Coding Nuances, Best Practices

  Without much warning, the novel Coronavirus, or COVID-19, has taken over our healthcare system. It has taxed our healthcare workers, our national stockpiles of PPE, and affected millions of Americans nationwide. In addition to healthcare workers on the front lines, the pandemic has also impacted the healthcare revenue cycle, causing major confusion, questions, and inconsistencies as […]
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