Category: Medical Billing

The New House Bill’s Drive for Healthcare Price Transparency

The New House Bill’s Drive for Healthcare Price Transparency

The Lower Costs, More Transparency bill has been introduced by the House Energy and Commerce Committee to address healthcare cost transparency. The bill’s purpose is to enhance price transparency within the healthcare system. According to survey, over 60% of Americans are living paycheck to paycheck. This implies that they are at risk of facing a […]
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IPPS /LTCH Final Rule – Increasing Operating Payment Rates by 3.1%

IPPS /LTCH Final Rule – Increasing Operating Payment Rates by 3.1%

Hospitals contend that the 3.1 percent increase in payments linked to quality reporting is insufficient to address the rising inflationary pressures. The Centers for Medicare & Medicaid Services (CMS) has officially published the final rule for the Hospital Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS) in the Federal […]
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How Medical Billing Compliance Can Protect Your Medical Practice?

How Medical Billing Compliance Can Protect Your Medical Practice?

The process of medical billing encompasses multiple stages, starting with patient registration and eligibility verification, followed by capturing charges, coding, submitting claims, and posting payments. When a patient receives medical services from a healthcare provider, the provider documents the services and associated costs within an electronic health record (EHR) system. Subsequently, a medical billing entity […]
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CMS Proposes Changes to Remote Patient Monitoring in PFS Proposed Rule

CMS Proposes Changes to Remote Patient Monitoring in PFS Proposed Rule

The 2024 physician fee schedule (PFS) proposed rule has been released by the Centers for Medicare & Medicaid Services (CMS). Within this rule, remote physiologic monitoring (RPM), also known as remote patient monitoring, has garnered significant attention. While customary for a proposed rule, CMS has introduced several suggested modifications to RPM. However, what sets this […]
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How Streamlined Billing Can Improve Wellness For Patients And Physicians

How Streamlined Billing Can Improve Wellness For Patients And Physicians

In the coming decade, physicians and patients will grapple with intertwined challenges. A mounting need for physicians, projected to face a shortage of up to 124,000 professionals, coincides with evolving patient expectations favoring seamless digital interactions. How can medical practices navigate heightened patient demands amidst a diminishing workforce? Drawing from my experience collaborating with numerous […]
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Revenue Cycle Management Tips for 2024

Revenue Cycle Management Tips for 2024

As the healthcare industry continues to evolve, healthcare revenue cycle management (RCM) has become increasingly important. In order to ensure financial stability and success, healthcare providers must stay up-to-date with the latest revenue cycle management tips and best practices. 6 Tips for Healthcare Revenue Cycle Management 2024 1. Embrace Technology Advancements in technology have revolutionized […]
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8 Medical Billing Tips for Practitioners

8 Medical Billing Tips for Practitioners

Effective insurance billing is crucial for the financial health of any medical practice, whether primary care, specialized, or integrative. Inefficient billing leads to significant revenue loss, with claim denial rates exceeding 15% and surging nearly 17% since 2019. To mitigate these losses, providers must prioritize robust billing processes. As a medical billing service, we’ve identified […]
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Advantages and Disadvantages of Medicare Advantage Plans

Advantages and Disadvantages of Medicare Advantage Plans

Medicare beneficiaries are increasingly drawn to Medicare Advantage plans due to the perception of cost savings and added benefits compared to Original Medicare. The pivotal choice when navigating annual Medicare decisions revolves around opting for Original Medicare or embracing a Medicare Advantage plan (also referred to as Medicare Part C) provided by private health insurers. […]
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