Category: Blog

HCPCS Level II Code Update for January 2024

HCPCS Level II Code Update for January 2024

The Centers for Medicare & Medicaid Services (CMS) has implemented its proposal to introduce codes for the collection of Social Determinants of Health (SDOH). The latest update for the Healthcare Common Procedure Coding System (HCPCS) Level II, applicable from January 2024, is now accessible on the CMS website. This update comprises significant alterations, including the […]
Medicare’s Telehealth Reimbursement Waiver Extended to 2024

Medicare’s Telehealth Reimbursement Waiver Extended to 2024

The final 2024 Medicare Physician Fee Schedule includes a provision that allows health systems to bill Medicare for telehealth services provided by doctors from their homes. This extension of a crucial Medicare reimbursement for health systems using telehealth services lasts until the end of 2024, and it also grants physicians working from home added privacy […]
2024 Medicare Physician Fee Schedule: Changes, Impact, and Updates

2024 Medicare Physician Fee Schedule: Changes, Impact, and Updates

The 2024 Medicare Physician Fee Schedule, recently released by CMS, confirms the anticipated reduction in payments for physicians. The finalized conversion factor of $32.7442 represents a 3.4% decrease from the 2023 rates, which themselves saw a 2% reduction from 2022. In contrast, the Medicare Economic Index, a gauge of practice cost inflation, surged to 4.6%, […]
CMS Final Rule 2023: Impact on Physician Reimbursement and Healthcare Facilities

CMS Final Rule 2023: Impact on Physician Reimbursement and Healthcare Facilities

Despite the American Medical Association’s (AMA) strong protests regarding a 26 percent decrease in physician reimbursement from 2001 to 2023, it seems that these objections have not been heeded. On November 2, the Centers for Medicare & Medicaid Services (CMS) announced their final policy changes, which include significant reductions in reimbursement for the upcoming year. […]
2024 ACA Open Enrollment: Affordable Health Insurance Options and Savings

2024 ACA Open Enrollment: Affordable Health Insurance Options and Savings

The open enrollment period has commenced for individuals obtaining health insurance through the Marketplaces established under the Affordable Care Act (ACA). On November 1, the President expressed optimism about the 2024 registration period, which runs from that day until January 15, 2024. Since last week, both the President and the U.S. Department of Health and […]
Patient take Billing into Account when Choosing a Provider

Patient take Billing into Account when Choosing a Provider

A survey conducted by a healthcare financial technology company examined the interplay between patient financial behaviors and expectations. The 2023 Patient Payment Technology Report analyzed the responses of over 1,500 U.S. healthcare consumers, delving into their interactions with healthcare payment systems. This encompassed areas such as consumer confidence, patient loyalty, financial preferences, and trust in […]
Four Common Forms of Virtual Care Reimbursed in Half of US States

Four Common Forms of Virtual Care Reimbursed in Half of US States

According to a recent report, 25 states now provide reimbursement for video, store-and-forward, and audio-only telehealth, as well as remote patient monitoring through Medicaid. Although every state and Washington, D.C. include some form of live video-based telehealth in their Medicaid programs, only 25 of them also offer Medicaid reimbursement for live video, store-and-forward telehealth, remote […]
Transparent e-Visit Billing: Essential Tips for Primary Care Physicians

Transparent e-Visit Billing: Essential Tips for Primary Care Physicians

In an era where digital progress is transforming every facet of the economy, healthcare is no different. Breakthroughs, particularly in telehealth and e-visits, offer the potential to make healthcare more accessible than ever. While these advancements bring significant promise, they also bring about fresh challenges, particularly in the realm of billing. A growing number of […]
How does autonomous coding improve revenue cycle?

How does autonomous coding improve revenue cycle?

A survey revealed that healthcare organizations anticipate that autonomous coding will accelerate the revenue cycle process and enhance coding accuracy. Although autonomous coding has the potential to streamline revenue cycle processes and alleviate administrative burdens, a majority of healthcare finance leaders surveyed either lack familiarity with it or harbor reservations about fully trusting this automated […]