Patient access is the first point of contact for patients and the first time staff can get key information right for revenue cycle management success. Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is also a […]
The COVID-19 pandemic created a host of challenges for revenue cycle management leaders, from widespread service line shutdowns to shifting staff to work at home and increasing self-pay balances. These pressures have heightened inefficiencies in A/R processes and productivity. While these challenges took a massive financial toll on healthcare organizations—to the tune of $323 billion […]
Most physicians still faced a high prior authorization burden despite treating a surge of positive COVID-19 cases this winter, the American Medical Association (AMA) reports. In a survey of 1,000 practicing physicians between Nov. 23, 2020, and Dec. 14, 2020, AMA found that 85 percent of physicians described the burden associated with prior authorization as high […]
The FDA grants emergency use authorization for at-home, over-the-counter COVID-19 tests. On March 5, 2021, Cue Health received emergency use authorization (EUA) from the U.S. Food and Drug Administration (FDA) for their Cue COVID-19 Test for Home and Over The Counter (OTC) Use. The nucleic acid amplification test (NAAT) detects the RNA of SARS-CoV-2, the […]
Despite the strain placed on physicians by the COVID-19 pandemic, insurers continued to impose prior authorization requirements which delayed care and hurt some patients. According to a news release from the American Medical Association (AMA), a new survey showed that nearly 70 percent of the 1,000 respondents showed that health insurers had either reverted to prior authorization […]
CMS is temporarily holding claims from providers in anticipation of legislation that will extend the suspension of the 2 percent Medicare sequester, according to a recent newsletter. The MLN Connects newsletter from March 30 stated that CMS has “instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April […]
Today the Biden Administration announced its latest group of appointments to the Department of Health and Human Services. The new appointees join tens of thousands of career officials throughout the agency at a time when expertise is critical to tackling the ongoing COVID-19 pandemic. WHAT’S THE IMPACT? Kristina Schake will serve as HHS Secretary Xavier Becerra’s […]
Contending that the COVID-19 pandemic forced medicine to evolve by accelerating the use of telehealth, a speaker said it is critical to consider the future role of virtual care and how the best clinical outcomes can be achieved. “COVID-19 has changed the way we view medicine and we’re not going to go back,” Martin Schreiber, MD, chief […]
Medicare spending on physician services decreased by $9.4 billion, or 19 percent, in the first half of 2020 because of the COVID-19 pandemic, according to a new analysis from the American Medical Association (AMA). The analysis of Medicare Physician Fee Schedule claims from January to June last year found that Medicare spending dropped by as much as […]
This new law is set to take effect on Jan. 1, 2022. In the closing days of 2020, Congress enacted and the President signed into law the “No Surprises Act.” But what does that mean for providers and patients exactly? The Act contains key protections to hold consumers harmless from the cost of unanticipated out-of-network […]
