Blog Archives - Page 28 of 163

January 16, 2024
Blog, Healthcare News, Revenue Cycle Management
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CMS’ New Prior Authorization Rules: Impact on Medicare Advantage and Part D

The Medicare Advantage and Part D rule was implemented on January 1 by CMS. Despite the fact that the Medicare Advantage and Part D rule which came into effect on January 1, 2019 is now in effect, it is quite early to tell whether 2024 will be the year when providers finally overcome the challenges […]

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Updated IDR Processing Fees Post-No Surprises Act Lawsuit

As a result of the most recent provider lawsuit, IDR processing fees have been reworked. Since its inception on Jan. 1, 2022, the No Surprises Act (NSA) has had its growing pains, including four lawsuits challenging the process of Independent Dispute Resolution (IDR). Out-of-network services are paid for with this process when health plans, healthcare […]

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January 11, 2024
Blog, Medical Coding
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Navigating E&M Code Changes

It is expected that the Centers for Medicare & Medicaid Services (CMS) will release a completely revamped version of the evaluation and management (E&M) codes by 2021, particularly for the office visit codes (999201-99205 and 99211-99215). In addition to the changes to the office visit codes, there were significant changes to the 2023 guidelines. These […]

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January 10, 2024
Blog, Medical Billing
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Study Reveals Shocking Lack of Medical Billing Quality in US Hospitals

The Healthcare industry 2022 survey found that most hospitals fail to meet new billing measures. There is a shortage of qualified billing representatives at most hospitals, and patient itemized bills are not issued on time. Based on the Healthcare Industry survey’s new measures added in 2022, a study published in Healthcare media examined the quality […]

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January 9, 2024
Blog, Healthcare News, Revenue Cycle Management
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Enhancing Medicare Advantage Benefits for Patients and Providers

The AMGA says that expanding Medicare Advantage benefits would benefit patients, physicians, and others in the health care industry. For Medicare Part C, also known as Medicare Part C, and Medicare Prescription Drug Benefit Program (Medicare Part D), some policy and technical changes have been approved for 2025 by the association. A public comment period […]

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New CMS Appeal Process Proposal Expected to Have Low Impact

As a result of their hospital stays that exceeded three days – all of which were outpatient Part B stays – a group of Medicare beneficiaries filed a class action lawsuit in 2010 to recover their costs from stays in skilled nursing facilities (SNFs) for rehabilitation following an illness. It was probably the height of […]

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January 5, 2024
Blog, Medical Coding
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New HCPCS Level II Codes for ASCs, Dentists, & DME Suppliers

Medicare payment systems undergo many updates at the beginning of the new year. In the January 2024 update to the ASC Payment System, there are new HCPCS Level II codes for the following ambulatory surgical centers, dentist offices, and durable medical equipment (DME) suppliers: Payments can be passed through covered devices Radiation therapy guided by […]

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Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this G2211 Code add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing HCPCS Level II codes on Jan. 1, 2024. […]

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Advantages and Disadvantages of end-to-end RCM platforms

An end-to-end platform is sought by deep adopters of RCM technology from a single vendor, according to a new Healthcare IT research report. Some providers have adopted technology from only one vendor in order to achieve an end-to-end revenue cycle management (RCM) platform. There are several benefits to working with one vendor, but there are […]

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Leaders of the Revenue Cycle: how will AI be used in 2024?

As revenue cycle technology has evolved, artificial intelligence has evolved from a buzzword into an established presence. Leaders in the revenue cycle and finance are looking to AI to automate tasks and streamline processes, allowing them to make better use of their staffs as the sector-wide shortage of staff persists. The healthcare media previously spoke […]

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Category: Blog

CMS’ New Prior Authorization Rules: Impact on Medicare Advantage and Part D

Updated IDR Processing Fees Post-No Surprises Act Lawsuit

Navigating E&M Code Changes

Study Reveals Shocking Lack of Medical Billing Quality in US Hospitals

Enhancing Medicare Advantage Benefits for Patients and Providers

New CMS Appeal Process Proposal Expected to Have Low Impact

New HCPCS Level II Codes for ASCs, Dentists, & DME Suppliers

Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

Advantages and Disadvantages of end-to-end RCM platforms

Leaders of the Revenue Cycle: how will AI be used in 2024?

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