The President signed the Coronavirus Aid, Relief, and Economic Security (CARES) Act on Friday, March 27, formalizing a piece of legislation meant to support and stimulate the economy in the midst of the global pandemic, to the tune of over $2 trillion. This article will address provisions of the CARES Act that will assist healthcare […]
The pandemic crisis is disrupting the revenue cycle, including the revenue ramifications of cancelling elective procedures. The global COVID-19 pandemic has sent the entire world into turmoil, including negatively affecting the U.S. economy, causing a ripple effect down to healthcare organization revenue cycles. Many elements of this crisis are already changing the revenue cycle, from […]
Doctors are fond of complaining that they didn’t go to medical school in order to practice business, but independent physicians do spend much of their time on their practices’ finances. That requires mastering revenue cycle management (RCM), the financial process practices use to administer all the functions associated with claims processing, payment, and revenue generation. […]
Medicare reimbursement for COVID-19 tests will be about $36 for the CDC test and $51 for those created in house or by other entities. Following the development of new billing codes, CMS is now letting clinical laboratories know how much they will receive in Medicare reimbursement for COVID-19 testing patients. CMS emailed providers last week […]
Denials, automation, and surprise billing are perennially tricky & common revenue cycle issues, but new twists on those topics add an extra layer of complexity. When it comes to revenue cycle management, a handful of common revenue cycle issues are nearly always a struggle, year after year. For instance, denials, automation, and surprise billing are […]
COVID-19 is creating unique healthcare revenue cycle challenges around billing and coding, patient financial responsibility, and resource allocation. As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is having a significant impact on the […]
About 60 million Americans live in rural areas and depend on local hospitals for care. In 2019, a record 18 rural hospitals closed, bringing the total closures since 2010 to 124, according to the Cecil G. Sheps Center for Health Services Research. With almost 700 more rural hospitals at risk of shutting, the need for strategies to boost […]
Roughly 50,000 attendees from around the world are expecting to come to Orlando, Fla., the week of March 9 to discuss healthcare technology. But so far, the talk of the conference has been focused on the coronavirus (COVID-19) outbreak and what the conference is doing about it. To complicate matters, President Donald Trump is expected to speak […]
Question:Â Why do my Evaluation & Management (E&M) codes keep getting denied when I bill them in conjunction with spinal manipulation? I have been receiving increasing inquiries regarding the denial of Evaluation and Management (E&M) codes 99201-99215 when billed with chiropractic manipulation. It appears to be happening on a wide scale, so I want to address […]
CMS is proposing changes and a three year extension to the Comprehensive Care for Joint Replacement Model (CJR), which provides a flat set of payments to hospitals for an episode of care through 90 days past patient discharge. The program was due to expire at the end of this year. The agency also wants to include outpatient […]