Category: Blog

Mastering Appeals

When Appeals Are Not Enough

If you are as enthusiastic about medical billing and reimbursement, it can be vexing when we receive a denial. Here are some tried and true points that every biller should know to address a true appeal correctly. Know Your Coding: In today’s multi-tasking office you will often find billers who are certified in both collections […]
CMS Finalizes MPFS Payment and Policy Changes

CMS Finalizes 2018 MPFS Payment and Policy Changes

The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. MPFS Final Rule Highlights: Taking into account the 0.5 percent automatic adjustment under the Medicare Access and CHIP Reauthorization Act (MACRA), CMS estimates the resource-based […]
CMS Releases Physician Fee Schedule

CMS Releases Physician Fee Schedule For 2018: 6 Things To Know

CMS issued its 2018 Medicare Physician Fee Schedule, which cuts Medicare payments for services provided by certain provider-owned off-campus hospital departments. Here are six things to know about 1,250-page final rule: 1. Physician payment rates will increase 0.41 percent in 2018 compared to this year: CMS arrived at this increase after accounting for a 0.5 […]
10 Revenue Cycle Tips For Healthcare Organizations

10 Revenue Cycle Tips For Healthcare Organizations

As patients take on more out-of-pocket costs, and patient satisfaction continues to influence the financial health of hospitals, revenue cycle management has become increasingly important to organizations. Amid these and other changes, many revenue cycle professionals have offered thought-provoking insights. Here are 10 RCM tips from industry experts: 1. “To make sure that your organization […]
Medicare Access and CHIP Reauthorization Act

Do You Know About MACRA? The Majority of Clinicians Don’t

Most Clinicians Still Do Not Know About MACRA Major financial penalties loom for providers not following reporting requirements. We are more than halfway through the first year of the Medicare Access and CHIP Reauthorization Act (MACRA), and a majority of clinicians still do not understand the program. In fact, the Centers for Medicare & Medicaid […]
Is Your Medical Billing Costing You Money

Get the Money You are Owed for the Services Provided

Correct coding is essential for the proper billing of your business to occur. When the wrong codes are put it, you can be missing out on hundreds of dollars per client every month. If you are struggling to do your own medical billing without the assistance of a professional biller, you may be in over […]
5 Ways to Make the Most of Your Coverage

5 Ways to Make the Most of Your Coverage

Now that you have health coverage, here is what you can do to put your health first and live a long and healthy life. 1. Confirm your coverage 2. Know where to go for answers 3. Find a provider 4. Make an appointment 5. Fill your prescriptions 1. Confirm your coverage: Be sure your enrollment […]